Individual
ELIZABETH SELZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10435 CLAYTON RD STE 110, FRONTENAC, MO 63131-2930
(314) 995-3990
Mailing address
10435 CLAYTON RD STE 110, FRONTENAC, MO 63131-2930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013003396
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2017004781
MO
Other
Enumeration date
02/01/2017
Last updated
04/03/2017
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