Individual
MRS. LORI SELFRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
224 N LOGAN BLVD, BURNHAM, PA 17009-1850
(717) 242-0196
Mailing address
100 N ACADEMY AVE # MC4903, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011872
PA
Other
Enumeration date
12/30/2011
Last updated
04/04/2025
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