Provider Demographics
NPI:1295392421
Name:SEELEY, RUTH ODESSA (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ODESSA
Last Name:SEELEY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:RUTHE
Other - Middle Name:ODESSA CONSTANCE
Other - Last Name:FLUEGGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:400 SW LONGVIEW BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2157
Mailing Address - Country:US
Mailing Address - Phone:877-279-5960
Mailing Address - Fax:737-843-1121
Practice Address - Street 1:9100 PARK ST STE 100
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3353
Practice Address - Country:US
Practice Address - Phone:877-279-5960
Practice Address - Fax:737-843-1121
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35240363LF0000X
KS53-78749-101363LF0000X
NM77721363LF0000X
LA234346363LF0000X
WI14739-33363LF0000X
TX1154048363LF0000X
IAA158440363LF0000X
MS906397363LF0000X
MO2019019674363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty