Individual
BRENDA A. SELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
332 THAIN RD, LEWISTON, ID 83501-5337
(208) 220-1652
(844) 358-8784
Mailing address
327 PARADISE RD, GRANGEVILLE, ID 83530-5319
(208) 507-0115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60939
ID
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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