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

Tiana Rae Siragusa, PA-C

Individual provider Physician Assistant · NPI 1699698555

Tiana Rae Siragusa, PA-C is a Physician Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

19555 N 59th Ave
Glendale, AZ 85308-6813
Phone: (623) 572-3125
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11953 (AZ)

Record details

NPI number1699698555
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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