Healthcare Provider Details

I. General information

NPI: 1790794659
Provider Name (Legal Business Name): NANCY E SEIM RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S BROADWAY
MINOT ND
58701-4667
US

IV. Provider business mailing address

310 6TH ST SW
SURREY ND
58785-0035
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-4181
  • Fax:
Mailing address:
  • Phone: 701-837-0496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3120
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: