Individual
RENITA S SELMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3845
(405) 456-5961
Mailing address
PO BOX 444, MUSTANG, OK 73064-0444
(405) 620-6836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0054368
OK
Other
Enumeration date
08/06/2010
Last updated
06/20/2013
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