Provider Demographics
NPI:1063251254
Name:SIGMAN, BETH ANNE (CNA)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:SIGMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 RIVERSIDE PARK RD APT 10
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5389
Mailing Address - Country:US
Mailing Address - Phone:701-214-9185
Mailing Address - Fax:
Practice Address - Street 1:121 RIVERSIDE PARK RD APT 10
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5389
Practice Address - Country:US
Practice Address - Phone:701-214-9185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND98724376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide