Healthcare Provider Details

I. General information

NPI: 1841325610
Provider Name (Legal Business Name): JULIA C SEELEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SAVANNAH RD SUITE B
LEWES DE
19958-1499
US

IV. Provider business mailing address

26328 OLD CARRIAGE RD
SEAFORD DE
19973-4664
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3555
  • Fax: 302-644-3560
Mailing address:
  • Phone: 302-628-0949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG0000341
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: