Provider Demographics
NPI:1730988981
Name:SICIGNANO, CHRISTIAN MATTHEW (ARNP)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:MATTHEW
Last Name:SICIGNANO
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7931 HAMPTON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3662
Mailing Address - Country:US
Mailing Address - Phone:813-853-1903
Mailing Address - Fax:
Practice Address - Street 1:4004 N RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3212
Practice Address - Country:US
Practice Address - Phone:813-296-8312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038136363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health