Healthcare Provider Details

I. General information

NPI: 1437330214
Provider Name (Legal Business Name): CAROLYN A SIENZANT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN A ZERBE

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4807 JONESTOWN RD SUITE 141
HARRISBURG PA
17109-1739
US

IV. Provider business mailing address

3 WALNUT ST SUITE 206
LEMOYNE PA
17043-1168
US

V. Phone/Fax

Practice location:
  • Phone: 717-657-3030
  • Fax: 717-671-0991
Mailing address:
  • Phone: 717-761-0208
  • Fax: 717-761-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA053129
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: