MEDICARE: MRS. ANNE L. SIGMUND RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	436504-1	NY

General Provider Information

NPI Number	:	1043593403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE L. SIGMUND RN

Provider Business Mailing Address
First Line	:	147 BOEHMLER RD
Second Line	:	P.O.BOX 453
City	:	SPARROW BUSH
State	:	NY
Zip	:	12780-5521
Country	:	US
Telephone Number	:	845-856-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 BOEHMLER RD
Second Line	:
City	:	SPARROW BUSH
State	:	NY
Zip	:	12780-5521
Country	:	US
Telephone Number	:	845-856-3719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	09/22/2011

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