Provider Demographics
NPI:1982029435
Name:SEIFERT, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4044 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7808
Mailing Address - Country:US
Mailing Address - Phone:724-527-6651
Mailing Address - Fax:724-527-0957
Practice Address - Street 1:4044 ROUTE 130
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7808
Practice Address - Country:US
Practice Address - Phone:724-527-6651
Practice Address - Fax:724-527-0957
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily