Provider Demographics
NPI:1619850591
Name:SIPLE, ANGELA ANNETTE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:ANNETTE
Last Name:SIPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 W GROVES ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-1151
Mailing Address - Country:US
Mailing Address - Phone:412-540-9032
Mailing Address - Fax:
Practice Address - Street 1:153 W GROVES ST
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-1151
Practice Address - Country:US
Practice Address - Phone:412-540-9032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant