Provider Demographics
NPI:1669663381
Name:SEYSTER, SHEILA GRACE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:GRACE
Last Name:SEYSTER
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:340 MAIN ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1604
Mailing Address - Country:US
Mailing Address - Phone:508-754-3566
Mailing Address - Fax:508-438-6364
Practice Address - Street 1:484 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3704
Practice Address - Country:US
Practice Address - Phone:508-672-3700
Practice Address - Fax:508-672-5442
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2011-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA241673367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0719978Medicaid
MA000306102Medicare PIN