Basic Information
| Provider Information | |||||||||
| NPI: | 1982029435 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEIFERT | ||||||||
| FirstName: | JULIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4044 ROUTE 130 | ||||||||
| Address2: | |||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156427808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245276651 | ||||||||
| FaxNumber: | 7245270957 | ||||||||
| Practice Location | |||||||||
| Address1: | 4044 ROUTE 130 | ||||||||
| Address2: | |||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156427808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245276651 | ||||||||
| FaxNumber: | 7245270957 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2014 | ||||||||
| LastUpdateDate: | 12/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP013464 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.