Healthcare Provider Details

I. General information

NPI: 1447674668
Provider Name (Legal Business Name): DENA MICHELLE SEIFERT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 N MERIDIAN ST STE 200
INDIANAPOLIS IN
46260-2643
US

IV. Provider business mailing address

29943 NETWORK PL
CHICAGO IL
60673-1299
US

V. Phone/Fax

Practice location:
  • Phone: 317-706-7246
  • Fax: 317-706-3417
Mailing address:
  • Phone: 317-706-3415
  • Fax: 765-449-1196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number71004818A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71004818
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: