Provider Demographics
NPI:1871109595
Name:SIBBEN STEWART, ERIN LEIGH (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LEIGH
Last Name:SIBBEN STEWART
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:LEIGH
Other - Last Name:SIBBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:88 PAW PAW LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4215
Mailing Address - Country:US
Mailing Address - Phone:440-409-3071
Mailing Address - Fax:
Practice Address - Street 1:99 NORTHLINE CIR STE 215
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1481
Practice Address - Country:US
Practice Address - Phone:216-383-2834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN0027819363LF0000X
OHLE-00034103207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine