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NPI Code Detail

MEDICARE: GINA SIGGIA CNP

MEDICARE: GINA SIGGIA CNP
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
1363LW0102XWomen's Health Nurse Practitioner209.006067IL
2363LF0000XFamily Nurse PractitionerARNP9390385FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265765119
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA SIGGIA CNP
Provider Business Mailing Address
First Line : 1801 EAGLE TRACE BLVD
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-3314
Country : US
Telephone Number : 312-420-0561
Fax Number :
Provider Business Practice Location Address
First Line : 1929 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9202
Country : US
Telephone Number : 312-472-2485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2009
Last Update Date : 11/12/2014

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