# DR. AMANDA M SEABOLT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669113403
- **Gender:** F
- **Credential:** PH.D., PMHNP-BC, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | RN.393970 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4704419865 | MI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0038240 | OH | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 09/12/2026
