Individual provider · Type 1 NPI

Nina M. Siregar, FNP

Nurse Practitioner · Los Angeles, CA

NPI number 1104547686 Active

Practice location

808 W 58th St
Los Angeles, CA 90037-3632

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95020220 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104547686

Nina M. Siregar, FNP's National Provider Identifier is 1104547686, issued on Sep 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 5, 2022.