Provider Demographics
NPI:1578330262
Name:SEWARD, NETTIE (RN)
Entity Type:Individual
Prefix:
First Name:NETTIE
Middle Name:
Last Name:SEWARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4066 E MONSANTO DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-8512
Mailing Address - Country:US
Mailing Address - Phone:520-335-6118
Mailing Address - Fax:888-504-1425
Practice Address - Street 1:4066 E MONSANTO DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-8512
Practice Address - Country:US
Practice Address - Phone:520-335-6118
Practice Address - Fax:888-504-1425
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ060809163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health