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Individual
MS. STEPHANIE DANIELLE SELKE
Active
Individual
MS. STEPHANIE DANIELLE SELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
849798
CA
207P00000X
Emergency Medicine Physician
1620929
CO
363LF0000X
Family Nurse Practitioner
0995611
CO
363LF0000X
Family Nurse Practitioner
Primary
95016593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP11576F
—
CA
Enumeration date
02/28/2020
Last updated
04/01/2021
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