Individual
SUSAN L SELBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
25A JUNE ST, SUITE 110, SANFORD, ME 04073-2642
(207) 324-2146
(207) 324-1288
Mailing address
25 JUNE ST, SUITE 110, SANFORD, ME 04073-2621
(207) 324-2146
(207) 324-1288
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AM082057
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0706221
—
MA
05
—
433411099
—
ME
Enumeration date
05/22/2006
Last updated
03/06/2009
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