Individual
BRENDA L SEIDEL
Active
Individual
BRENDA L SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2010008797
MO
363LA2200X
Adult Health Nurse Practitioner
2090425177
IL
363LF0000X
Family Nurse Practitioner
Primary
2010008797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010008797
LICENSE
MO
Enumeration date
03/24/2010
Last updated
01/22/2024
Update your record
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