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Individual

MRS. ERIKA STEELE SEAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
4409 SONOMA CIR, NICEVILLE, FL 32578-4260
(703) 577-1795
Mailing address
4409 SONOMA CIR, NICEVILLE, FL 32578-4260
(703) 577-1795

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024171302
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
9408530
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017270200
FL
Enumeration date
11/06/2013
Last updated
07/05/2017
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