Provider Demographics
NPI:1386749901
Name:SIBERT, LEIGH ANNE N (RN MSN)
Entity type:Individual
Prefix:
First Name:LEIGH ANNE
Middle Name:N
Last Name:SIBERT
Suffix:
Gender:F
Credentials:RN MSN
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Other - Credentials:
Mailing Address - Street 1:252 CHAPMAN ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5438
Mailing Address - Country:US
Mailing Address - Phone:302-366-7665
Mailing Address - Fax:302-366-0734
Practice Address - Street 1:BUILDING B-86
Practice Address - Street 2:OMEGA PROFESSIONAL CENTER
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-6004
Practice Address - Country:US
Practice Address - Phone:302-366-7665
Practice Address - Fax:302-366-0734
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-11-09
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Provider Licenses
StateLicense IDTaxonomies
DELN0000110364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE004872ZA7AMedicare PIN
DES98677Medicare UPIN