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NPI Code Detail

MEDICARE: MS. SHEILA HANNAH SIEGEL PA-C

MEDICARE: MS. SHEILA HANNAH SIEGEL PA-C
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
1363A00000XPhysician AssistantPA10317CA

General Provider Information

NPI Number : 1235281551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA HANNAH SIEGEL PA-C
Provider Business Mailing Address
First Line : 51 ALTA VISTA DR
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-3103
Country : US
Telephone Number : 831-426-7089
Fax Number : 831-426-7089
Provider Business Practice Location Address
First Line : 1156 HIGH ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95064-1077
Country : US
Telephone Number : 831-459-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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