Provider Demographics
NPI:1982073326
Name:SEELY, ROSEANNE MARIE (CNA/RESTORATIVE)
Entity Type:Individual
Prefix:MS
First Name:ROSEANNE
Middle Name:MARIE
Last Name:SEELY
Suffix:
Gender:F
Credentials:CNA/RESTORATIVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CROSSWAY AVE
Mailing Address - Street 2:APT. A-3
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130
Mailing Address - Country:US
Mailing Address - Phone:615-987-9836
Mailing Address - Fax:
Practice Address - Street 1:216 CENTERVIEW DR
Practice Address - Street 2:STE 180
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-373-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00171254376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide