Provider Demographics
NPI:1053729046
Name:SEILER, DEBRA (NP)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:SEILER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 DELAFIELD ST.
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-542-0074
Mailing Address - Fax:262-436-0576
Practice Address - Street 1:1111 DELAFIELD ST
Practice Address - Street 2:SUITE 215
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3417
Practice Address - Country:US
Practice Address - Phone:262-542-2594
Practice Address - Fax:262-542-6805
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIIN PROCESS363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily