Provider Demographics
NPI:1992482954
Name:SIGARAN AGUASVIVAS, ANNY MICHEL (DNP)
Entity type:Individual
Prefix:
First Name:ANNY
Middle Name:MICHEL
Last Name:SIGARAN AGUASVIVAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ANNY
Other - Middle Name:MICHEL
Other - Last Name:SIGARAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:100 COMMONS PARK N APT 507
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7159
Mailing Address - Country:US
Mailing Address - Phone:347-892-1007
Mailing Address - Fax:
Practice Address - Street 1:982 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06608-1913
Practice Address - Country:US
Practice Address - Phone:203-696-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT225409163W00000X
NY405013363LP0808X
CT014134363LP0808X
NY830029163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse