Individual
JUDI L. SIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
370 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 471-1807
(845) 471-1815
Mailing address
119 HORSESHOE RD, MILLBROOK, NY 12545-6029
(845) 240-2995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
382232
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403429-01
NY
Other
Enumeration date
04/22/2014
Last updated
01/17/2025
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