Healthcare Provider Details

I. General information

NPI: 1699533299
Provider Name (Legal Business Name): VICTORIA N.M. SEEL BREASTFEEDING PEER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 PANTHER DR NE
NEW LEXINGTON OH
43764-9081
US

IV. Provider business mailing address

PO BOX 188
CHILLICOTHEE OH
45601-0188
US

V. Phone/Fax

Practice location:
  • Phone: 740-342-4192
  • Fax: 740-773-4024
Mailing address:
  • Phone: 740-773-4366
  • Fax: 740-851-4438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: