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DOREEN MARIE SIRACUSANO PA-C/ MA
NPI 1679583710
Physician Assistant - Medical in Albuquerque, NM

Active since August 09, 2006
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 265-1711(505) 256-2819 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doreen Marie Siracusano Pa-c/ Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOREEN MARIE SIRACUSANO PA-C/ MA (NPI 1679583710) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (85PA013) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1679583710
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDOREEN MARIE SIRACUSANOCredential: PA-C/ MA
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address1501 San Pedro Dr SeAlbuquerque, NM 87108-5153 · (505) 265-1711 · Fax (505) 256-2819
Phone(505) 265-1711
Fax(505) 256-2819
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679583710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · 85PA013
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doreen Siracusano's NPI number?

The NPI number for Doreen Siracusano is 1679583710. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Doreen Siracusano located?

Doreen Siracusano practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Doreen Siracusano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Doreen Siracusano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.