ANN R SEDLACEK


Address: 428 Se Chadwick St, Roseburg, OR 97470-4340
Phone: 5414302594

ANN R SEDLACEK (NPI# 1629178835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629178835
Entity Type Individual
Full Name ANN R SEDLACEK
Credential PMHNP
Practice Address 428 Se Chadwick St
Roseburg
OR 97470-4340
Practice Telephone 5414302594
Practice Fax Number 8883892677
Mailing Telephone 5414302594
Mailing Fax Number 8883892677
Enumeration Date 2006-09-25
Last Update Date 2016-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
085075393N6 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 428 SE CHADWICK ST
City ROSEBURG
State OR
Zip Code 97470-4340

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1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801978382 Janet G. Eggers Nurse Practitioner 621 W. Madrone St, Roseburg, OR 97470-3090 2006-10-20
1811327364 Suellen Adams Mclaughlin Nurse Practitioner 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 2013-11-20
1215244793 Carlie G Corbin Nurse Practitioner 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 2010-09-07
1942365812 Nancy A West Nurse Practitioner 621 W Madrone St, Roseburg, OR 97470-3090 2006-12-22
1730298977 Cassandra Mae Donlon-silvestri Nurse Practitioner 913 Nw Garden Vally Blvd, Roseburg Veterans Administration Health Care System, Roseburg, OR 97470 2006-08-30
1891803532 Elizabeth A. Davis Nurse Practitioner 913 Nw Garden Valley Blvd, Mhc (200), Roseburg, OR 97470-6523 2006-08-25
1528093721 Va Roseburg Health Care System Nurse Practitioner 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 2006-07-12
1992720965 Tamara R Lee Nurse Practitioner 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 2006-07-12
1013949676 Jo Ann G. Berenbach Nurse Practitioner 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470-6523 2006-07-06
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Competitor

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City ROSEBURG
Zip Code 97470

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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