Katrina Lea Selsor
Nurse Practitioner - Primary Care
155 Village Dr
Sparta
, Missouri 65753-8104
Katrina Lea Selsor
Nurse Practitioner - Primary Care
155 Village Dr
Sparta
, Missouri 65753-8104
(417) 634-4505
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Katrina Lea Selsor
- 2183 Johnson Rd
- Sparta, MO
- Zip : 65753-8813
- Fax : (417) 634-4505
- Phone : (417) 880-2505
Second Address
- Katrina Lea Selsor
- 155 Village Dr
- Sparta, MO
- Zip : 65753-8104
- Fax : (417) 634-4505
- Phone : (417) 364-4203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 2018000302 | MO |
National Provider Identifier
| NPI | 1073020673 |
|---|---|
| Provider Name | Katrina Lea Selsor |
| First Address | Sparta, MO 65753-8813 |
| Second Address | Sparta, MO 65753-8104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2018 |
| Last Update Date | 04/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.