Individual
MS. DYAN L SEFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2200 MARKET ST, C/O SAINT CATHERINE'S REGIONAL HOSPITAL, CHARLESTOWN, IN 47111-9553
(812) 256-7679
(812) 256-7419
Mailing address
4680 OLD FOREST RD SW, PO BOX 952, CORYDON, IN 47112-6437
(812) 738-7606
(812) 634-7152
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
28104181A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28104181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286565
ABCBS PROVIDER #
IN
01
—
1467530931
SEFTON ANESTHESIA SERVICES GROUP NPI#
IN
05
—
200103090B
—
IN
01
—
28104181A
IN LICENSE NUMBER
IN
01
—
430072300
MEDICARE RAILROAD #
IL
Enumeration date
10/03/2006
Last updated
11/08/2021
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