National Provider Identifier
Kristen Marie Siracuse, NP
Kristen Marie Siracuse, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Dunkirk, NY and a listed phone number of (716) 363-6050.
Profile Overview
- NPI
- 1902213168
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 18, 2014
- Last Updated
- May 05, 2015
Practice Location
- 319 Central Ave
- Level B
- Dunkirk, NY 14048-2137
Phone: (716) 363-6050
Mailing Address
- 18 Birchwood Dr
- Fredonia, NY 14063-1204
Specialties
- Family Nurse Practitioner (363LF0000X)
- Family Health Clinical Nurse Specialist (364SF0001X)
Full Record
- NPI
- 1902213168
- Entity Type
- Individual
- Last Name
- Siracuse
- First Name
- Kristen
- Middle Name
- Marie
- Credential
- NP
- Provider Other Last Name
- Schober
- Provider Other First Name
- Kristen
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 18 Birchwood Dr
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1204
- Mailing Country
- US
- Mailing Phone
- (716) 672-4600
- Practice Street Address
- 319 Central Ave
- Practice Address Line 2
- Level B
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2137
- Practice Country
- US
- Practice Phone
- (716) 363-6050
- Practice Fax
- (716) 363-6851
- Enumeration Date
- July 18, 2014
- Last Updated
- May 05, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Family Health Clinical Nurse Specialist (364SF0001X)
- Other Identifiers
- 04007530 (NY)