Healthcare Provider Details

I. General information

NPI: 1013308295
Provider Name (Legal Business Name): KRISTEN SELLAND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 UTAH ST STE 200
HIAWATHA KS
66434-2314
US

IV. Provider business mailing address

300 UTAH ST
HIAWATHA KS
66434-2326
US

V. Phone/Fax

Practice location:
  • Phone: 785-742-2131
  • Fax: 785-742-6588
Mailing address:
  • Phone: 785-742-2131
  • Fax: 785-742-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81030
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number2015006725
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number53-81030
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2015001975
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number53-81030
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: