Provider Demographics
NPI:1073105995
Name:SEYLER, NATHAN (CPTH)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:SEYLER
Suffix:
Gender:M
Credentials:CPTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34399 N CAVE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5134
Mailing Address - Country:US
Mailing Address - Phone:480-296-7410
Mailing Address - Fax:480-296-7399
Practice Address - Street 1:34399 N CAVE CREEK RD
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5134
Practice Address - Country:US
Practice Address - Phone:480-296-7410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZT071549183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician