Individual
KAREN E SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 RAILROAD AVE, MANCOS, CO 81328-9329
(970) 533-9125
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 533-9125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201700826NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
APN.0996854-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000197327
—
CO
05
—
PENDING
—
AZ
Enumeration date
08/31/2011
Last updated
11/27/2023
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