Basic Information
| Provider Information | |||||||||
| NPI: | 1467825836 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEELEY | ||||||||
| FirstName: | SARA | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 CHESTNUT ST | ||||||||
| Address2: | APT 1 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941233063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304213762 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3801 SACRAMENTO ST | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941181625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156000770 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2015 | ||||||||
| LastUpdateDate: | 11/07/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 95003111 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.