Roberta L Seibel, R.N

Individual provider Active NPI Registered Nurse · Leadville, CO

NPI 1114257573 · NPPES record last updated Jan 7, 2010

Key facts

NPI
1114257573
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
186302 (CO)
Practice address
112 W 5TH St
Leadville, CO 80461-3510
Phone
(719) 486-0118
Fax
(719) 486-4168
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
186302COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Government Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 186302 CO Yes

Addresses

Primary practice location

112 W 5TH St
Leadville, CO 80461-3510

Mailing address

112 W 5TH St
P.O Box 626
Leadville, CO 80461-3510
Phone (719) 486-0118

Other providers in Leadville, CO

All providers in Leadville, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.