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Individual

SALLY ANN SEELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3200 TYRE NECK RD STE 101, PORTSMOUTH, VA 23703
(757) 399-7451
(757) 399-1158
Mailing address
3200 TYRE NECK RD STE 101, PORTSMOUTH, VA 23703-3329
(757) 399-7451
(757) 399-1158

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166017
VA
367500000X
Certified Registered Nurse Anesthetist
65764
CO
367500000X
Certified Registered Nurse Anesthetist
RN208010L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031207
RECERT NO. AANA
05
21273723
CO
Enumeration date
05/19/2006
Last updated
05/16/2018
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