Healthcare Provider Details

I. General information

NPI: 1831830215
Provider Name (Legal Business Name): YOUSTINA SELIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E JEFFERSON ST STE A2
BUTLER PA
16001-4780
US

IV. Provider business mailing address

3019 PELICAN DR
VALENCIA PA
16059-3525
US

V. Phone/Fax

Practice location:
  • Phone: 724-968-5803
  • Fax:
Mailing address:
  • Phone: 724-612-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberOT025172
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: