Individual
PROF. DANA SIEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
33582 VINTAGE LN, FRANKFORD, DE 19945-2970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R172537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R172537
—
MD
Enumeration date
04/16/2018
Last updated
04/16/2018
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