Provider Demographics
NPI:1447551718
Name:SEEP, BARBARA LOIS (NP-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOIS
Last Name:SEEP
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2638 HIGHWAY 109
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1182
Mailing Address - Country:US
Mailing Address - Phone:636-821-2500
Mailing Address - Fax:636-821-2210
Practice Address - Street 1:2638 HIGHWAY 109
Practice Address - Street 2:SUITE 101
Practice Address - City:WILDWOOD
Practice Address - State:MO
Practice Address - Zip Code:63040-1182
Practice Address - Country:US
Practice Address - Phone:636-821-2500
Practice Address - Fax:636-821-2210
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO060755363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care