Individual
MS. VANESSA LOUISE SELIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 576-4082
Mailing address
1886 SEVERN RD, GROSSE POINTE WOODS, MI 48236-1947
(313) 530-9551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704229359
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704229359
MI
Other
Enumeration date
12/28/2009
Last updated
05/07/2026
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