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Individual

AVERY ELYSE SELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3203 DOGWOOD LN, CARMEL, IN 46032-9629
(317) 498-1171
(317) 219-0879
Mailing address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152
(317) 498-1171
(317) 219-0879

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71016083A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71016083A
IN

Other

Enumeration date
11/26/2024
Last updated
12/11/2025
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