Healthcare Provider Details

I. General information

NPI: 1538464920
Provider Name (Legal Business Name): DEBORAH LYNN SEELING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2011
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W 10TH AVE
COLUMBUS OH
43210-1280
US

IV. Provider business mailing address

376 W. 10TH AVENUE
COLUMBUS OH
43210
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.11639-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: