Provider Demographics
NPI:1174779086
Name:SINNIGEN, DENA ERWAY (LPN)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:ERWAY
Last Name:SINNIGEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2599 WEBB RD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-6805
Mailing Address - Country:US
Mailing Address - Phone:607-423-8581
Mailing Address - Fax:
Practice Address - Street 1:2599 WEBB RD
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-6805
Practice Address - Country:US
Practice Address - Phone:607-423-8581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279346-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse