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Individual

HEATHER LEE SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1812 S J ST, SUITE 120, TACOMA, WA 98405-4964
(253) 207-4890
Mailing address
1812 S J ST, SUITE 120, TACOMA, WA 98405-4964
(253) 207-4890

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60023480
WA
363L00000X
Nurse Practitioner
Primary
AP60023685
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0240198
L&I
WA
01
0273066
STATE L&I
WA
01
8948472
CRIME VICTIM
WA
05
9658261
WA
Enumeration date
07/15/2008
Last updated
03/07/2011
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