1851737225 NPI number — MRS. DANIELLE MARIE SEINER FNP

Table of content: MRS. DANIELLE MARIE SEINER FNP (NPI 1851737225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851737225 NPI number — MRS. DANIELLE MARIE SEINER FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEINER
Provider First Name:
DANIELLE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851737225
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1240 N BUTTERFIELD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOLIVAR
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65613-3016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-326-6021
Provider Business Mailing Address Fax Number:
417-326-6347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1240 N BUTTERFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOLIVAR
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65613-3016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-326-6021
Provider Business Practice Location Address Fax Number:
417-326-6347
Provider Enumeration Date:
05/13/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  2013001294 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F0113035 . This is a "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM FNP" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 2007022224 . This is a "DIVISION OF PROFESSIONAL REGISTRATION MISSOURI STATE BOARD OF NURSING RN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 2013001294 . This is a "DIVISION OF PROFESSIONAL REGISTRATION MISSOURI STATE BOARD OF NURSING" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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