| Doctor Name: | MS. MARY BETH SEBAS |
| NPI Number: | 1447382080 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R125629-3 |
| Business Practice Address: | 515 S Moore St Blue Earth, MN - 560132158 |
| Business Phone Number: | 5075267388 |
| Business Fax Number: | 5075267725 |
| Mailing Address: | 411 Riverside Ave N, SARTELL |
| State: | MN |
| Postal Code: | 563771612 |
| Phone Number: | 3202029242 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R125629-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |