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Individual

HEIDI L. SEULING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3706 GRACIE CT, FLOYDS KNOBS, IN 47119
(812) 941-0412
(000) 000-0000
Mailing address
3706 GRACIE CT, FLOYDS KNOBS, IN 47119-9783
(812) 941-0412
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005168
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200897620
IN
05
7100054170
KY
Enumeration date
05/12/2006
Last updated
11/26/2018
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