MRS. AMANDA MARIE SELKING NP-C NPI 1902125727

NPI Information

NPI: 1902125727
Provider Name: MRS. AMANDA MARIE SELKING, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
205 TOWER DR
MONROE, IN
ZIP 46772
Phone: (260) 692-6163
Get Directions

MRS. Amanda Marie Selking, NP-C is a family nurse practitioner in Monroe, IN with 14 years of experience. MRS. Amanda Marie Selking, NP-C NPI is 1902125727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 TOWER DR
MONROE, IN
ZIP 46772-362
Phone: (260) 692-6163
Fax: (260) 728-3949

The NPI 1902125727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28160341A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71003269A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200989710	MEDICAID	INDIANA
2	M400021031	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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