Provider Demographics
NPI:1689658510
Name:SEEDALL, HAILEY LYNN (BSN, APRN, WHNP)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:LYNN
Last Name:SEEDALL
Suffix:
Gender:F
Credentials:BSN, APRN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 SADDLE DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4920
Mailing Address - Country:US
Mailing Address - Phone:801-502-1700
Mailing Address - Fax:
Practice Address - Street 1:251 SADDLE DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4920
Practice Address - Country:US
Practice Address - Phone:406-502-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT100693363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU006OtherINTERMOUTAIN HEALTH CARE