Individual
BETHANY SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
932 TOWER LN, WEST BEND, WI 53090-2426
(262) 309-5127
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1086232-30
WI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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