Provider Demographics
NPI:1356591085
Name:SIEU, KATHERINE L (RN, NP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:SIEU
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LENNON LN
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2415
Mailing Address - Country:US
Mailing Address - Phone:925-939-9610
Mailing Address - Fax:925-939-9630
Practice Address - Street 1:500 LENNON LN
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2415
Practice Address - Country:US
Practice Address - Phone:925-939-9610
Practice Address - Fax:925-939-9630
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18369363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health