ANGEL SEEHAVER NPI 1477016483

NPI Information

  • NPI: 1477016483
  • Provider Name: ANGEL SEEHAVER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2222 E STATE ST STE 209
    ROCKFORD, IL
    ZIP 61104
  • Phone: (815) 988-8500

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NPI Details

Angel Seehaver is a family nurse practitioner in Rockford, IL with 7 years of experience. Angel Seehaver NPI is 1477016483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 E STATE ST STE 209
ROCKFORD, IL
ZIP 61104-572
Phone: (815) 988-8500
Fax: (815) 977-5956

The NPI 1477016483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209.019230ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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