Individual
MARY R C SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC, RN
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157162-30
WI
163W00000X
Registered Nurse
R 234011-1
MN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
9275
WI
363LP0222X
Critical Care Pediatric Nurse Practitioner
CNP 4719
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295056828
—
WI
Enumeration date
06/17/2010
Last updated
02/07/2023
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