Individual provider · Type 1 NPI
Priska Siregar
Nurse Practitioner · Beaumont, CA
Practice location
11611 Zoeller St
Beaumont, CA 92223-5313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95034661 (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 1952256703
Priska Siregar's National Provider Identifier is 1952256703, issued on Feb 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beaumont, CA. The record was last updated on Feb 26, 2026.