Individual
EDITH SIELSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
2587 WILDON DR, YORK, PA 17403-5215
(717) 428-9696
Mailing address
2587 WILDON DR, YORK, PA 17403-5215
(717) 428-9696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP003979X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621582
GATEWAY MEDICARE ASSURED
PA
Enumeration date
07/19/2005
Last updated
12/01/2015
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