Healthcare Provider Details

I. General information

NPI: 1326464017
Provider Name (Legal Business Name): DANIEL R SEWARD NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2014
Last Update Date: 03/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 N PINE ST
GRAMERCY LA
70052-3659
US

IV. Provider business mailing address

827 N PINE ST
GRAMERCY LA
70052-3659
US

V. Phone/Fax

Practice location:
  • Phone: 225-869-9200
  • Fax: 225-869-9241
Mailing address:
  • Phone: 225-869-9200
  • Fax: 225-869-9241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAP07729
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: