Individual provider · Type 1 NPI

Tiana Rae Siragusa, PA-C

Physician Assistant · Glendale, AZ

NPI number 1699698555 Active

Practice location

19555 N 59th Ave
Glendale, AZ 85308-6813

Mailing address

7438 E Cactus Wren Rd
Scottsdale, AZ 85250-4603

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11953 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699698555

Tiana Rae Siragusa, PA-C's National Provider Identifier is 1699698555, issued on Jul 30, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 30, 2026.