Provider Demographics
NPI:1417621160
Name:SEAMANS, GINETTE (RN)
Entity Type:Individual
Prefix:
First Name:GINETTE
Middle Name:
Last Name:SEAMANS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GINETTE
Other - Middle Name:
Other - Last Name:PREYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11744B HARVEST BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13603-3130
Mailing Address - Country:US
Mailing Address - Phone:207-217-1245
Mailing Address - Fax:
Practice Address - Street 1:11744B HARVEST BLVD
Practice Address - Street 2:
Practice Address - City:FORT DRUM
Practice Address - State:NY
Practice Address - Zip Code:13603-3130
Practice Address - Country:US
Practice Address - Phone:207-217-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY808080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse