Individual
EVAN PATRICK SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 532-1100
(740) 534-0029
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19126-NP
OH
363LF0000X
Family Nurse Practitioner
3009248
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169300
—
OH
05
—
7100354700
—
KY
Enumeration date
04/01/2015
Last updated
09/12/2023
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