Individual
KATIE MICHELLE SELEZNEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-2960
Mailing address
149 BREWSTER RD, WEST HARTFORD, CT 06117-2102
(860) 559-1633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01682
RI
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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