Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nina M Siregar, FNP

Individual provider Nurse Practitioner · NPI 1104547686

Nina M Siregar, FNP is a Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95020220 (CA)

Record details

NPI number1104547686
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 3, 2022

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