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Individual

BRENDA L SEIDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12855 N 40 DR STE 125, SAINT LOUIS, MO 63141-8663
(314) 806-1770
Mailing address
1235 GLENMEADE DR, MARYLAND HEIGHTS, MO 63043-3618
(314) 806-1770

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
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