Provider Demographics
NPI:1518024181
Name:SEIBERT, CATHERINE L (APRN, CFNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:L
Last Name:SEIBERT
Suffix:
Gender:F
Credentials:APRN, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 IRVING AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2282
Mailing Address - Country:US
Mailing Address - Phone:937-599-4443
Mailing Address - Fax:937-599-4403
Practice Address - Street 1:212 IRVING AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2282
Practice Address - Country:US
Practice Address - Phone:937-599-4443
Practice Address - Fax:937-599-4403
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-07317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily