Individual provider · Type 1 NPI
Lydia Sirucek, APRN, CNP
Family Nurse Practitioner · Cottage Grove, MN
NPI number
1235532771
Active
Practice location
8611 E Point Douglas Rd
Cottage Grove, MN 55016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | CNP2096 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 2096 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235532771
Lydia Sirucek, APRN, CNP's National Provider Identifier is 1235532771, issued on Sep 29, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cottage Grove, MN. The record was last updated on Nov 10, 2020.