Healthcare Provider Details

I. General information

NPI: 1104984541
Provider Name (Legal Business Name): FAYE MORIN SIEGLER NP,CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAYE MORIN NP,CNM

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39400 PASEO PADRE PKWY
FREMONT CA
94538-2310
US

IV. Provider business mailing address

39400 PASEO PADRE PKWY
FREMONT CA
94538-2310
US

V. Phone/Fax

Practice location:
  • Phone: 510-784-4267
  • Fax:
Mailing address:
  • Phone: 510-784-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN368044
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: