Healthcare Provider Details

I. General information

NPI: 1548813017
Provider Name (Legal Business Name): KARA SIGLER RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18144 SECO ST
JAMESTOWN CA
95327-9498
US

IV. Provider business mailing address

15445 RIDGEWOOD DR
SONORA CA
95370-8746
US

V. Phone/Fax

Practice location:
  • Phone: 209-984-4820
  • Fax:
Mailing address:
  • Phone: 415-690-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95015480
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95171910
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: