| Doctor Name: | MR. ALLEN RYAN SEAL |
| NPI Number: | 1083072623 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | AP08682 |
| Business Practice Address: | 301 Walnut St Amite, LA - 704222025 |
| Business Phone Number: | 9857489485 |
| Business Fax Number: | |
| Mailing Address: | 301 Walnut St, AMITE |
| State: | LA |
| Postal Code: | 704222025 |
| Phone Number: | 9857489485 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2016 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |