Provider Demographics
NPI:1861833956
Name:SEMINGSON, ALICE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:SEMINGSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34620 N SHORT RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-8513
Mailing Address - Country:US
Mailing Address - Phone:509-276-1912
Mailing Address - Fax:509-276-1912
Practice Address - Street 1:34620 N SHORT RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WA
Practice Address - Zip Code:99006-8513
Practice Address - Country:US
Practice Address - Phone:509-276-1912
Practice Address - Fax:509-276-1912
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00084035163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse