Individual
MS. PATRICIA LOUISE SELLEVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 CRESCENT LN, VESTAL, NY 13850-2611
(607) 754-4836
Mailing address
401 CRESCENT LN, VESTAL, NY 13850-2611
(607) 754-4836
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420284-1
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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