Provider Demographics
NPI:1508172123
Name:SEUFERER, ELSA JEAN (RN, BSN, CPN)
Entity Type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:JEAN
Last Name:SEUFERER
Suffix:
Gender:F
Credentials:RN, BSN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:IA
Mailing Address - Zip Code:50151-9680
Mailing Address - Country:US
Mailing Address - Phone:641-203-1466
Mailing Address - Fax:
Practice Address - Street 1:400 MAPLE ST
Practice Address - Street 2:
Practice Address - City:LUCAS
Practice Address - State:IA
Practice Address - Zip Code:50151-9680
Practice Address - Country:US
Practice Address - Phone:641-203-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA085809163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics