Healthcare Provider Details

I. General information

NPI: 1801672480
Provider Name (Legal Business Name): KARA LEIGH SEIGLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARA REMICK

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 S 7TH ST STE 300
ST MARIES ID
83861-1803
US

IV. Provider business mailing address

229 S 7TH ST
SAINT MARIES ID
83861-1803
US

V. Phone/Fax

Practice location:
  • Phone: 208-245-2591
  • Fax: 208-245-5246
Mailing address:
  • Phone: 208-245-5551
  • Fax: 208-245-5246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number42802
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number77693
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number77693
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: