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1235331968 NPI number — MARIE DIANNE FOCHTMAN SELENY APRN, CPNP

NPI Number: 1235331968
Health Care Provider/Practitioner: MARIE DIANNE FOCHTMAN SELENY APRN, CPNP

Information about “1235331968” NPI (MARIE DIANNE FOCHTMAN SELENY APRN, CPNP) exists in 1235331968 in HTML format HTML  |  1235331968 in plain Text format TXT  |  1235331968 in PDF (Portable Document Format) PDF  |  1235331968 in an XML format XML  formats.

NPI Number : 1235331968 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235331968",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOCHTMAN SELENY",
    "FirstName": "MARIE",
    "MiddleName": "DIANNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APRN, CPNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FOCHTMAN",
    "OtherFirstName": "M",
    "OtherMiddleName": "DIANNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "APRN, CPNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1319 PUNAHOU ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96826-1001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-983-8676",
    "MailingAddressFaxNumber": "808-983-8005",
    "FirstLinePracticeLocationAddress": "1319 PUNAHOU ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96826-1001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-983-8676",
    "PracticeLocationAddressFaxNumber": "808-983-8005",
    "EnumerationDate": "06/04/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WP0218X",
          "TaxonomyName": "Pediatric Oncology Registered Nurse",
          "LicenseNumber": "38274",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "427",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "186",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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