Organization
SIDWA ENTERPRISE II, LLC
Active
Organization
SIDWA ENTERPRISE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE S SIDWA ANP (PRESIDENT OWNER)
(609) 339-5667
Entity
Organization
Contact information
Practice address
1043 MONTAUK DR, FORKED RIVER, NJ 08731-2004
(609) 339-5667
(888) 836-3950
Mailing address
1043 MONTAUK DR, FORKED RIVER, NJ 08731-2004
(609) 339-5667
(888) 836-3950
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN10119300
NJ
Other
Enumeration date
05/04/2016
Last updated
05/10/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up