Provider Demographics
NPI:1528274594
Name:SIEBERS, HEATHER MARIE ANDERSON (RNC WHNP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MARIE ANDERSON
Last Name:SIEBERS
Suffix:
Gender:F
Credentials:RNC WHNP
Other - Prefix:
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Mailing Address - Street 1:1924 SQUIRES WAY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5419
Mailing Address - Country:US
Mailing Address - Phone:314-495-4943
Mailing Address - Fax:
Practice Address - Street 1:16216 BAXTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4770
Practice Address - Country:US
Practice Address - Phone:636-449-4700
Practice Address - Fax:636-449-2595
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO147037363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO147037OtherWHNP