Healthcare Provider Details

I. General information

NPI: 1760835409
Provider Name (Legal Business Name): MELISSA M SEEGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BARFIELD DR
HASTINGS MI
49058-9018
US

IV. Provider business mailing address

500 BARFIELD DR
HASTINGS MI
49058-9018
US

V. Phone/Fax

Practice location:
  • Phone: 269-948-8041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number4704304597
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: