Individual
MISS SIBYL C CAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3991 DUTCHMANS LN, SUITE 405, LOUISVILLE, KY 40207-4700
(502) 899-3366
(502) 899-3455
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 899-3366
(502) 899-3455
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3050P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174112
ANTHEM PROVIDER NO.
KY
01
—
124095
PASSPORT PROVIDER NO
KY
01
—
500012702
RAILROAD MEDICARE
KY
05
—
78003712
—
KY
Enumeration date
05/12/2006
Last updated
11/01/2018
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