MEDICARE: DANIEL ELLISON SEILER NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5023939	NC

General Provider Information

NPI Number	:	1558123109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ELLISON SEILER NP

Provider Business Mailing Address
First Line	:	4705 UNIVERSITY DR BLDG 700
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3489
Country	:	US
Telephone Number	:	919-237-1337
Fax Number	:	866-538-4716

Provider Business Practice Location Address
First Line	:	5821 FAIRVIEW RD STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3649
Country	:	US
Telephone Number	:	980-580-0639
Fax Number	:	980-580-0507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	06/19/2026

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