Healthcare Provider Details

I. General information

NPI: 1386326106
Provider Name (Legal Business Name): ERIN NICOLE SEIFERT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 RIDGE RD
NORTH ROYALTON OH
44133-3744
US

IV. Provider business mailing address

12301 RIDGE RD
NORTH ROYALTON OH
44133-3744
US

V. Phone/Fax

Practice location:
  • Phone: 440-652-8748
  • Fax: 440-582-3171
Mailing address:
  • Phone: 440-652-8748
  • Fax: 440-582-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0032645
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: