Healthcare Provider Details

I. General information

NPI: 1699255489
Provider Name (Legal Business Name): DAWN SEELEY ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

901 S. 7TH STREET
BERESFORD SD
57004
US

V. Phone/Fax

Practice location:
  • Phone: 605-521-6576
  • Fax:
Mailing address:
  • Phone: 319-750-5230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberR029210
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: