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Individual

DEBRA K SEIFFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
2044 MADISON AVE STE G5, GRANITE CITY, IL 62040-4641
(618) 798-8460
(314) 773-1802
Mailing address
2044 MADISON AVE STE G5, GRANITE CITY, IL 62040-4641
(618) 798-8460
(314) 773-1802

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141052
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018024068
MO

Other

Enumeration date
01/17/2018
Last updated
06/18/2024
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