Basic Information
| Provider Information | |||||||||
| NPI: | 1457356230 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEITZ | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | RNC, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6982 STAGECOACH RD | ||||||||
| Address2: | APT E | ||||||||
| City: | DUBLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945682178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107084244 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19845 LAKE CHABOT RD | ||||||||
| Address2: | STE 302 | ||||||||
| City: | CASTRO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945464055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108863400 | ||||||||
| FaxNumber: | 5108860861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 384671 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.