Individual
KELSEY SIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(208) 994-5575
Mailing address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(208) 994-5575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6581203
ID
Other
Enumeration date
04/06/2026
Last updated
05/01/2026
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