Basic Information
| Provider Information | |||||||||
| NPI: | 1821732181 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIEMION | ||||||||
| FirstName: | VICTORIA | ||||||||
| MiddleName: | JADE | ||||||||
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| Credential: | MSN, CRNP, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4479 APPLEBUTTER RD | ||||||||
| Address2: | |||||||||
| City: | PERKASIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189444308 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 860 1ST AVE | ||||||||
| Address2: | |||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194064033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102651166 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2022 | ||||||||
| LastUpdateDate: | 04/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP025149 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.