Provider Demographics
NPI:1124016076
Name:SIEMERS, VICTORIA J (ARNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:J
Last Name:SIEMERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-338-3478
Mailing Address - Fax:319-384-5096
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-338-3478
Practice Address - Fax:319-384-5096
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA049248363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA30450OtherWELLMARK BCBS
IA0423160Medicaid
IAI1421007OtherMEDICARE UIQC OCTC, NL, SEIC
IAP00470716OtherRR MEDICARE UIQC OCTC, NL, SEIC
IA500029076Medicare PIN
IA30450OtherWELLMARK BCBS
IAP00470716OtherRR MEDICARE UIQC OCTC, NL, SEIC