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

Retta M Siregar, REGISTEREDNURSE

Individual provider General Practice Registered Nurse · NPI 1972213957

Retta M Siregar, REGISTEREDNURSE is a General Practice Registered Nurse in Lemoore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1104 Par Ave
Lemoore, CA 93245-9061
Phone: (559) 754-4521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 95089172 (CA)

Record details

NPI number1972213957
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022