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NPI Code Detail

MEDICARE: MRS. MICHELLE KEATING-SIBEL CRNP

MEDICARE: MRS. MICHELLE KEATING-SIBEL CRNP
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
1363LF0000XFamily Nurse PractitionerSP013722PA

General Provider Information

NPI Number : 1093130940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE KEATING-SIBEL CRNP
Provider Business Mailing Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 484-246-5006
Fax Number : 484-246-5006
Provider Business Practice Location Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 484-246-5006
Fax Number : 484-246-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2014
Last Update Date : 12/09/2025

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