Provider Demographics
NPI:1093254567
Name:SEALS, KIRSTEN (DNP)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:SEALS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 MORGANTON BLVD SW
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8183
Mailing Address - Country:US
Mailing Address - Phone:828-757-8950
Mailing Address - Fax:828-757-8968
Practice Address - Street 1:2651 MORGANTON BLVD SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8183
Practice Address - Country:US
Practice Address - Phone:828-757-8950
Practice Address - Fax:828-757-8968
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily