Healthcare Provider Details

I. General information

NPI: 1639096258
Provider Name (Legal Business Name): RODNEY LEE SELVIO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 S RIDGECREST AVE
RUTHERFORDTON NC
28139-2838
US

IV. Provider business mailing address

174 YATES RESORT DR
FOREST CITY NC
28043-0060
US

V. Phone/Fax

Practice location:
  • Phone: 828-286-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR055379
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: