Healthcare Provider Details

I. General information

NPI: 1225494099
Provider Name (Legal Business Name): MARYSTUART D SEIFARTH CRNP, BSN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E MAIN ST
WAYNESBORO PA
17268-2353
US

IV. Provider business mailing address

785 5TH AVE SUITE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-765-3648
  • Fax: 717-765-3647
Mailing address:
  • Phone: 717-263-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015832
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: