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MR. ANDREW ZOLTAN SELOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183667
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
91104
NC

Other

Enumeration date
06/01/2012
Last updated
07/21/2022
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