Healthcare Provider Details

I. General information

NPI: 1760968085
Provider Name (Legal Business Name): SARAH ANN TROMBETTA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ANN SIEBERT

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S LLOYD ST STE W190
ABERDEEN SD
57401-4509
US

IV. Provider business mailing address

PO BOX 1460
ABERDEEN SD
57402-1460
US

V. Phone/Fax

Practice location:
  • Phone: 605-225-0025
  • Fax:
Mailing address:
  • Phone: 605-622-2876
  • Fax: 605-622-2804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR040588
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP001409
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: