Provider Demographics
NPI:1588715783
Name:SEAMAN, NANCY GRAY (CRNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:GRAY
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 HOMER CLAYTON DR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2206
Mailing Address - Country:US
Mailing Address - Phone:256-582-2581
Mailing Address - Fax:
Practice Address - Street 1:2308 HOMER CLAYTON DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2206
Practice Address - Country:US
Practice Address - Phone:256-582-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2013-03-22
Deactivation Date:2012-02-23
Deactivation Code:
Reactivation Date:2013-03-21
Provider Licenses
StateLicense IDTaxonomies
AL1035737363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630302046Medicaid
AL051525367OtherBLUE CROSS BLUE SHIELD
AL051525366OtherBLUE CROSS BLUE SHIELD
AL630308046Medicaid
AL051525370OtherBLUE CROSS BLUE SHIELD
AL630307046Medicaid
AL630309046Medicaid
AL051525368OtherBLUE CROSS BLUE SHIELD
AL051525371OtherBLUE CROSS BLUE SHIELD
AL630303046Medicaid
AL630306046Medicaid
AL051525368OtherBLUE CROSS BLUE SHIELD
AL051525367OtherBLUE CROSS BLUE SHIELD