Shannon N Siekas Valid NPI

Individual provider · Family Nurse Practitioner · Baxter, MN

NPI

1003222597

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

179217-1 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2014-07-07

Last updated

2016-01-15