Healthcare Provider Details

I. General information

NPI: 1215114491
Provider Name (Legal Business Name): PATRICIA ANN SEELY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ANN DALLEY FNPC

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 03/21/2024
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HOSPITAL DR
YORK ME
03909-1011
US

IV. Provider business mailing address

15 SYLVAN CIR
KENNEBUNK ME
04043-6914
US

V. Phone/Fax

Practice location:
  • Phone: 207-363-4321
  • Fax:
Mailing address:
  • Phone: 706-410-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberRN143047
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP121016
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP121016
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: