| Praxis Girl, Pc | |
|
642 10th St Ste 101 Marion IA 52302-3446 | |
| (319) 440-7923 | |
| Not Available |
| Full Name | Praxis Girl, Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 642 10th St Ste 101, Marion, Iowa |
| Authorized Official Name and Position | Bonnie Elizabeth Seely (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3194407923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Girl, Pc 642 10th St Suite 101 Marion IA 52302-3446 Ph: (319) 440-7923 | Praxis Girl, Pc 642 10th St Ste 101 Marion IA 52302-3446 Ph: (319) 440-7923 |
| NPI Number | 1407454887 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 3779951512 |
|---|---|
| Medicare Enrollment ID | O20221129000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407454887 | NPI | - | NPPES |
| 1871899013 | Medicaid | IA |
| Provider Name | Bonnie E Seely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871899013 PECOS PAC ID: 9739361395 Enrollment ID: I20110303000594 |
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