Alexis Selvesyuk
Nurse Practitioner, Family in Goshen, IN. Individual provider (NPI-1).
NPI number1760200380
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1760200380
- Entity type
- Individual (NPI-1)
- Name
- Alexis Selvesyuk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2024
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28264843A | IN | Yes |
Practice location
21764 Omega CtGoshen, IN 46528-7809
Phone 574-891-4920
Mailing address
21764 Omega CtGoshen, IN 46528-7809
Phone 574-891-4920
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All 77 Family Nurse Practitioner providers in Goshen · All 1,111 providers in Goshen
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