Healthcare Provider Details

I. General information

NPI: 1972207132
Provider Name (Legal Business Name): CAYCIE LEE SEAVER RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAYCIE LEE MADISON PMHNP-BC

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5990 S HOSPITAL DR
GLOBE AZ
85501-9462
US

IV. Provider business mailing address

5880 S HOSPITAL DR
GLOBE AZ
85501-9447
US

V. Phone/Fax

Practice location:
  • Phone: 928-425-8151
  • Fax:
Mailing address:
  • Phone: 928-425-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number289788
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: