Individual
NICOLE Y. SEABECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Mailing address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28114255A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068623
—
OH
05
—
201052120
—
IN
Enumeration date
12/01/2011
Last updated
10/20/2022
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