Provider Demographics
NPI:1982989851
Name:SEEDOR, CATHERINE (LPN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SEEDOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 NORTH GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:SHAMOKIN
Mailing Address - State:PA
Mailing Address - Zip Code:17872
Mailing Address - Country:US
Mailing Address - Phone:570-492-0312
Mailing Address - Fax:
Practice Address - Street 1:169 NORTH GRANT STREET
Practice Address - Street 2:
Practice Address - City:SHAMOKIN
Practice Address - State:PA
Practice Address - Zip Code:17872
Practice Address - Country:US
Practice Address - Phone:570-492-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN287202164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse