Individual
ANN R SEDLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
428 SE CHADWICK ST, ROSEBURG, OR 97470-4340
(541) 430-2594
(888) 389-2677
Mailing address
428 SE CHADWICK ST, ROSEBURG, OR 97470-4340
(541) 430-2594
(888) 389-2677
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
085075393N6
OR
Other
Enumeration date
09/25/2006
Last updated
06/30/2016
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