Provider Demographics
NPI:1841508603
Name:SEFTAR, CHRISTY LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LYNN
Last Name:SEFTAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CHRISTY
Other - Middle Name:LYNN
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 CHERRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-2741
Mailing Address - Country:US
Mailing Address - Phone:414-530-2118
Mailing Address - Fax:
Practice Address - Street 1:1515 CHERRYWOOD DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-2741
Practice Address - Country:US
Practice Address - Phone:414-530-2118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI161588-30163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health