Individual
MRS. AUDREY SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN NCSN
Contact information
Practice address
41 O'CONNOR ROAD, FAIRPORT, NY 14450-8793
(585) 288-3130
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 288-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
497789-1
NY
164W00000X
Licensed Practical Nurse
252031-1
NY
Other
Enumeration date
11/10/2011
Last updated
12/22/2011
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