Provider Demographics
NPI:1063306728
Name:SISBACH, PAIGE BARRI (NP-BC)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:BARRI
Last Name:SISBACH
Suffix:
Gender:F
Credentials:NP-BC
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:BARRI
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:716 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:SAUK CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53583-1300
Mailing Address - Country:US
Mailing Address - Phone:612-296-3123
Mailing Address - Fax:
Practice Address - Street 1:716 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:SAUK CITY
Practice Address - State:WI
Practice Address - Zip Code:53583-1300
Practice Address - Country:US
Practice Address - Phone:612-296-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2024069514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily