Provider Demographics
NPI:1801330998
Name:SEELEY, SPIRIT (RN, MMP)
Entity type:Individual
Prefix:
First Name:SPIRIT
Middle Name:
Last Name:SEELEY
Suffix:
Gender:F
Credentials:RN, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 WINTHROP PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5746
Mailing Address - Country:US
Mailing Address - Phone:562-537-8517
Mailing Address - Fax:
Practice Address - Street 1:2481 W HORIZON RIDGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5926
Practice Address - Country:US
Practice Address - Phone:562-537-8517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV872747163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)