Provider Demographics
NPI:1730379272
Name:SIEFKER, ROBIN ANN (RN, BC, MSN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANN
Last Name:SIEFKER
Suffix:
Gender:F
Credentials:RN, BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EXECUTIVE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6285
Mailing Address - Country:US
Mailing Address - Phone:740-387-3087
Mailing Address - Fax:740-382-5034
Practice Address - Street 1:125 EXECUTIVE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6285
Practice Address - Country:US
Practice Address - Phone:740-387-3087
Practice Address - Fax:740-382-5034
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.246544163WP0808X
OHCOA.09528-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRX.09528-EX1OtherOBN - PRESCRIPTIVE AUTHOR
OHCOA.09528-NPOtherOBN - NURSE PRACTITIONER
OHRN.246544OtherOH BOARD OF NURSING - OBN