Individual
MS. MELISSA SUZANNE BAGWELL-SEIFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1965 AL HIGHWAY 157, SUITE B, CULLMAN, AL 35058-0672
(256) 775-2722
(256) 775-2648
Mailing address
1965 AL HIGHWAY 157, SUITE B, CULLMAN, AL 35058-0672
(256) 775-2722
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-087518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-087518
ALABAMA BOARD OF NURSING LICENSE NUMBER
AL
05
—
182072
—
AL
Enumeration date
10/14/2008
Last updated
07/23/2016
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