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NPI Code Detail

MEDICARE: NICOLE SIYEM

MEDICARE:   NICOLE  SIYEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0000248999TN
2367500000XCertified Registered Nurse AnesthetistAPN0000031474TN

General Provider Information

NPI Number : 1497421143
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SIYEM
Provider Business Mailing Address
First Line : 3035 SAPGATE LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-3084
Country : US
Telephone Number : 240-899-3479
Fax Number :
Provider Business Practice Location Address
First Line : 1310 HAVENBROOK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2651
Country : US
Telephone Number : 240-899-3479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2021
Last Update Date : 06/08/2023

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Directions to “ NICOLE SIYEM ” Practice Location

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