Siciliano, Janet M

Siciliano, Janet M is an individual health care provider with primary practice located at 11269 Jefferson Hwy N , Champlin MN 55316-3123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Siciliano, Janet M can be contacted via phone (612) 427-9620.

Contact Information

Primary practice address
11269 Jefferson Hwy N Champlin MN 55316-3123
Fax: (612) 247-9626
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 125575-7 Minnesota

Profile Details

NPI number 1598722308
LBN Legal business name Siciliano, Janet M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598722308 NPPES
Minnesota MEDICAID 656238800

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