Provider Demographics
NPI:1861885469
Name:SIEGEL, LAURA (FNP-C)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:615-706-8357
Mailing Address - Fax:
Practice Address - Street 1:1740 E FORT LOWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2384
Practice Address - Country:US
Practice Address - Phone:520-613-0001
Practice Address - Fax:520-504-6482
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR264273363LF0000X
AZ226823363LF0000X
OHRN.339804163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency