Healthcare Provider Details

I. General information

NPI: 1992170427
Provider Name (Legal Business Name): SELMAN MANUEL DNP, FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SOUTHCENTER BLVD STE 101
TUKWILA WA
98188-2442
US

IV. Provider business mailing address

6100 SOUTHCENTER BLVD STE 101
TUKWILA WA
98188-2442
US

V. Phone/Fax

Practice location:
  • Phone: 206-518-7800
  • Fax: 407-439-8885
Mailing address:
  • Phone: 206-518-7800
  • Fax: 407-439-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61133686
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61133686
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: