Individual
DIANE FRANCES SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3811 E BELL RD, SUITE 100, PHOENIX, AZ 85032-2138
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(623) 241-6152
(623) 241-6152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2351
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069636-04
—
AZ
Enumeration date
05/09/2006
Last updated
03/19/2014
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