Basic Information
| Provider Information | |||||||||
| NPI: | 1841889607 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEELINGER | ||||||||
| FirstName: | SAMANTHA | ||||||||
| MiddleName: | ERICA | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1789 BALDHEAD ISLAND DR | ||||||||
| Address2: | |||||||||
| City: | APEX | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275028576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196331077 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4505 FALLS OF NEUSE RD STE 650 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276092523 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198779959 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2021 | ||||||||
| LastUpdateDate: | 01/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 5013968 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.