Provider Demographics
NPI:1144404476
Name:SEYMOUR-BARRETT, FRANCES (RN)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:
Last Name:SEYMOUR-BARRETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:SEYMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1417
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755
Mailing Address - Country:US
Mailing Address - Phone:631-467-4162
Mailing Address - Fax:631-467-4162
Practice Address - Street 1:10 FERRET LANE
Practice Address - Street 2:
Practice Address - City:E SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:631-928-8626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2199791163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01056922Medicaid