Individual
DIANA L SEEBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439-1948
(937) 293-2133
(937) 293-2161
Mailing address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439-1948
(937) 293-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.06613-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000877722
ANTHEM
OH
05
—
0105748
—
OH
01
—
CS1431500185
CARE SOURCE
OH
Enumeration date
07/07/2008
Last updated
02/12/2016
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