Healthcare Provider Details

I. General information

NPI: 1710539432
Provider Name (Legal Business Name): CARA C SYPHER-SIEGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 FAUNCE CORNER RD
NORTH DARTMOUTH MA
02747-1261
US

IV. Provider business mailing address

88 FAUNCE CORNER RD UNIT 220
DARTMOUTH MA
02747-1261
US

V. Phone/Fax

Practice location:
  • Phone: 508-993-3009
  • Fax:
Mailing address:
  • Phone: 508-269-7351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number277142
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: