Individual
MRS. JUDITH Y SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1827 E OLIVE ST, SHOREWOOD, WI 53211-2069
(414) 915-1386
Mailing address
1827 E OLIVE ST, SHOREWOOD, WI 53211-2069
(414) 915-1386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221403-30
WI
164W00000X
Licensed Practical Nurse
316462-31
WI
Other
Enumeration date
09/25/2013
Last updated
02/26/2015
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