Individual
DIANNE V. SEABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4 PARK PL, SWANSEA, IL 62226-2965
(618) 277-7500
(618) 277-4236
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1075
(314) 851-4477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
09/21/2006
Last updated
02/09/2008
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