Individual
BRENDA E SEIBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 S MAIN ST, CLINTON, IN 47842-2437
(765) 505-5200
(930) 200-7389
Mailing address
PO BOX 389, CLINTON, IN 47842-0389
(765) 505-5200
(765) 505-5202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001944B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200805370
—
IN
Enumeration date
10/11/2006
Last updated
07/25/2025
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