Selke, Stephanie Danielle

Selke, Stephanie Danielle is an individual health care provider with primary practice located at 250 N See Vee Lane , Bishop CA 93514-8130. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Selke, Stephanie Danielle can be contacted via phone (760) 873-8461.

Contact Information

Primary practice address
250 N See Vee Lane Bishop CA 93514-8130
Phone: (760) 873-8461
Fax: (760) 873-3935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 849798 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1620929 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0995611 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95016593 California

Profile Details

NPI number 1174157077
LBN Legal business name Selke, Stephanie Danielle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Apr 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174157077 NPPES
California MEDICAID THP11576F

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