Individual
MS. SUSAN P. SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 584-7706
(727) 726-8571
Mailing address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 322-1054
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN1393462
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN1393462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261656400
—
FL
01
—
Y05Y9
FLORIDA BLUE
FL
Enumeration date
06/24/2006
Last updated
08/30/2024
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