Provider Demographics
NPI:1568012680
Name:SETON, EDWINA M (CNA)
Entity Type:Individual
Prefix:
First Name:EDWINA
Middle Name:M
Last Name:SETON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1057
Mailing Address - Country:US
Mailing Address - Phone:509-264-4210
Mailing Address - Fax:
Practice Address - Street 1:206 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1057
Practice Address - Country:US
Practice Address - Phone:509-264-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide