Individual
BLAIRE A SIEFKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-7521
(207) 454-3616
Mailing address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-7521
(207) 454-3616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP151071
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376751500
—
MD
Enumeration date
08/22/2012
Last updated
07/10/2015
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