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NPI Code Detail

MEDICARE: MS. CAROL ROSE SEJDA RN, MN, APNP

MEDICARE: MS. CAROL ROSE SEJDA RN, MN, APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse73432-030WI
2363LA2200XAdult Health Nurse Practitioner7-033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205838786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL ROSE SEJDA RN, MN, APNP
Provider Business Mailing Address
First Line : 6228 FOREST AVE
Second Line :
City : HAMMOND
State : IN
Zip : 46324-1011
Country : US
Telephone Number : 219-932-3532
Fax Number :
Provider Business Practice Location Address
First Line : 1027 N 9TH ST
Second Line : ST. BEN'S CLINIC
City : MILWAUKEE
State : WI
Zip : 53233-1411
Country : US
Telephone Number : 414-765-0606
Fax Number : 414-765-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2005
Last Update Date : 09/11/2025

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