MEDICARE: LAURA SIEGEL FNP-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
1	363LF0000X	Family Nurse Practitioner	R264273	MD
2	363LF0000X	Family Nurse Practitioner	226823	AZ

General Provider Information

NPI Number	:	1861885469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA SIEGEL FNP-C

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	615-706-8357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 E FORT LOWELL RD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2384
Country	:	US
Telephone Number	:	520-613-0001
Fax Number	:	520-504-6482

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

Provider Enumeration Date	:	03/06/2015
Last Update Date	:	08/07/2025

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Directions to “ LAURA SIEGEL FNP-C” Practice Location

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