Seidl, Mary R C

Seidl, Mary R C is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Seidl, Mary R C can be contacted via phone (414) 266-3360.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-3360
Fax: (414) 266-3563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R 234011-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X CNP 4719 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X 157162-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 9275 Wisconsin

Profile Details

NPI number 1295056828
LBN Legal business name Seidl, Mary R C
Credentials CPNP-AC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Feb 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295056828 NPPES
Wisconsin MEDICAID 1295056828

Popular Providers