Individual provider · Type 1 NPI

Mary R. C. Seidl, CPNP-AC, RN

Critical Care Pediatric Nurse Practitioner · Milwaukee, WI

NPI number 1295056828 Active

Practice location

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874

Fax (414) 266-3563

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR 234011-1 (MN)
Critical Care Pediatric Nurse Practitioner 363LP0222XCNP 4719 (MN)
Registered Nurse 163W00000X157162-30 (WI)
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X9275 (WI)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1295056828

Mary R. C. Seidl, CPNP-AC, RN's National Provider Identifier is 1295056828, issued on Jun 17, 2010. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 7, 2023.