Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 81805 | OK |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 81805 | OK |
NPI | 1003072430 |
---|---|
Provider Name | Liji Seilas |
First Address | Midwest City, OK 73140-3589 |
Second Address | Oklahoma City, OK 73111-5201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
81805 | ARNP LICENSE (OKLAHOMA) (01) | OK |