Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | R173616 | MD |
Y | 363LA2200X | Nurse Practitioner - Adult Health | R173616 | MD |
NPI | 1043550387 |
---|---|
Provider Name | Christine Siegel |
First Address | Washington, DC 20007-1707 |
Second Address | Bethesda, MD 20892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2013 |
Last Update Date | 09/03/2017 |