Provider Demographics
NPI:1760364897
Name:SIEFKAS, ASHLEY MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:SIEFKAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 DUNLAP ST
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:IA
Mailing Address - Zip Code:52347-7757
Mailing Address - Country:US
Mailing Address - Phone:515-689-2149
Mailing Address - Fax:
Practice Address - Street 1:709 2ND ST
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:IA
Practice Address - Zip Code:52347-7709
Practice Address - Country:US
Practice Address - Phone:319-647-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA185744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily