Healthcare Provider Details

I. General information

NPI: 1194027417
Provider Name (Legal Business Name): BONNIE ANN SEIPT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2010
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

IV. Provider business mailing address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2673
  • Fax:
Mailing address:
  • Phone: 215-345-2673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberSP011083
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011083
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: