Samantha Rae Sellke
Nurse Practitioner, Family in Westlake, OH. Individual provider (NPI-1).
NPI number1669948964
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1669948964
- Entity type
- Individual (NPI-1)
- Name
- Samantha Rae Sellke
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2018
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.023777 | OH | Yes |
Practice location
155 Crocker Park BlvdWestlake, OH 44145-6987
Phone 440-575-5762
Mailing address
4652 W Park DrFairview Park, OH 44126-2348
Phone 440-479-0345
Other practice locations
11706 Clifton Blvd
Lakewood, OH 44107-2018
Lakewood, OH 44107-2018
Phone 866-389-2727
5812 Ridge Rd
Parma, OH 44129-3161
Parma, OH 44129-3161
Phone 866-389-2727
1501 Golden Gate Plz
Mayfield Heights, OH 44124-3415
Mayfield Heights, OH 44124-3415
Phone 440-565-4344
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