Individual provider · Type 1 NPI

Michael James Sivak Iii, LPN

Licensed Practical Nurse · Fountain Hills, AZ

NPI number 1861948432 Active

Practice location

16100 E Palisades Blvd
Fountain Hills, AZ 85268

Mailing address

2320 W Columbine Drive
Phoenix, AZ 85029

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP049466 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5 other providers at this address

About NPI 1861948432

Michael James Sivak Iii, LPN's National Provider Identifier is 1861948432, issued on Sep 1, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fountain Hills, AZ. The record was last updated on Sep 1, 2016.