Individual
MRS. KAITLYN M SIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 16TH STREET, GREELEY, CO 80631
(970) 810-4121
(770) 701-6675
Mailing address
PO BOX 1786, FORT COLLINS, CO 80522-1786
(855) 654-5262
(770) 701-8675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
111936
CA
367500000X
Certified Registered Nurse Anesthetist
111936
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0993218-CRNA
CO
Other
Enumeration date
09/19/2016
Last updated
01/03/2020
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