Healthcare Provider Details

I. General information

NPI: 1831852789
Provider Name (Legal Business Name): SYDNEY GIRLING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY HAYDEN

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 SAINT FRANCIS DR STE 410
WATERLOO IA
50702-5634
US

IV. Provider business mailing address

2710 SAINT FRANCIS DR STE 410
WATERLOO IA
50702-5634
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-5000
  • Fax: 319-272-5264
Mailing address:
  • Phone: 319-272-5000
  • Fax: 319-272-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: