Individual
SHELLY JEAN SELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
23186 405TH AVE, FORESTBURG, SD 57314-6454
(605) 495-4144
Mailing address
23186 405TH AVE, FORESTBURG, SD 57314-6454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000511
SD
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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