Individual
SHARON CZECH-SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2356
(505) 291-2656
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
005234
CT
363LA2200X
Adult Health Nurse Practitioner
AP4000
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-02478
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630566
—
AZ
Enumeration date
08/02/2011
Last updated
01/30/2025
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