Individual provider · Type 1 NPI
Kim Ann Sivak
Psychiatric/Mental Health Nurse Practitioner · Virginia Beach, VA
NPI number
1942555065
Active
Practice location
5511 Princess Anne Rd Ste 200
Virginia Beach, VA 23462-3321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 342891 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5023582 (NC) |
| Registered Nurse | 163W00000X | RN297807L (PA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024194577 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1942555065
Kim Ann Sivak's National Provider Identifier is 1942555065, issued on Jul 15, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Virginia Beach, VA. The record was last updated on Dec 21, 2025.