Samantha Ashley Seiber, LPN

Individual provider Active NPI Licensed Practical Nurse · Wartburg, TN

NPI 1891317558 · NPPES record last updated May 15, 2020

Key facts

NPI
1891317558
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
74990 (TN)
Practice address
2226 Knoxville Hwy
Wartburg, TN 37887-3101
Phone
(865) 771-4695
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
74990TNMDLicensed Practical Nurse
774990TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 774990 TN
Licensed Practical Nurse 164W00000X 74990 TN Yes

Addresses

Primary practice location

2226 Knoxville Hwy
Wartburg, TN 37887-3101

Mailing address

2226 Knoxville Hwy
Wartburg, TN 37887-3101
Phone (865) 771-4695

Other providers in Wartburg, TN

All providers in Wartburg, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.