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MS. MELISSA SUZANNE BAGWELL-SEIFERT CRNP

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1568614170

Individual Registrant:
MS. MELISSA SUZANNE BAGWELL-SEIFERT CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1965 AL HIGHWAY 157 SUITE B CULLMAN, AL 35058-0672 US
Tel: 256-775-2722  Fax: 256-775-2648

Contact information for business:
1965 AL HIGHWAY 157 SUITE B CULLMAN, AL 35058-0672 US
Tel: 256-775-2722  Fax: --

Registration Information:
NPI: 1568614170
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
AL1-087518

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ALABAMA BOARD OF NURSING LICENSE NUMBER1-087518AL01
182072AL05




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