MEDICARE: SYDNEY LOVE SIEKMANN

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
1	367500000X	Certified Registered Nurse Anesthetist	241343	LA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1306565775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY LOVE SIEKMANN

Provider Business Mailing Address
First Line	:	433 NURSERY AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-3533
Country	:	US
Telephone Number	:	225-276-8918
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 NURSERY AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-3533
Country	:	US
Telephone Number	:	225-276-8918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	12/02/2025

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Directions to “ SYDNEY LOVE SIEKMANN ” Practice Location

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