Provider Demographics
NPI:1144798588
Name:SEIP, ASHLEY MAE (LPN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MAE
Last Name:SEIP
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:MAE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:47 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663-6097
Mailing Address - Country:US
Mailing Address - Phone:802-249-5870
Mailing Address - Fax:
Practice Address - Street 1:600 GRANGER RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5369
Practice Address - Country:US
Practice Address - Phone:802-223-1878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT025.0008395164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse