Healthcare Provider Details

I. General information

NPI: 1326586900
Provider Name (Legal Business Name): CHRISTINE SEITZ RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 S BALDWIN
MESA AZ
85209-1701
US

IV. Provider business mailing address

PO BOX 945
HIGLEY AZ
85236-0945
US

V. Phone/Fax

Practice location:
  • Phone: 480-250-8482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN189776
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: