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Individual

SELENA SKYE MCLEOD WILLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3333 BURNET AVE., ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVE., ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
472778
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036190
OH

Other

Enumeration date
08/20/2020
Last updated
09/15/2024
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