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NPI Code Detail

MEDICARE: LAURA DANIELLE SELWAY RN, PCNS-BC

MEDICARE: LAURA DANIELLE SELWAY RN, PCNS-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0200XPediatric Clinical Nurse SpecialistCS00130MD

General Provider Information

NPI Number : 1225716772
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DANIELLE SELWAY RN, PCNS-BC
Provider Business Mailing Address
First Line : 1800 ORLEANS ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21287-0010
Country : US
Telephone Number : 410-955-5255
Fax Number :
Provider Business Practice Location Address
First Line : 1800 ORLEANS ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21287-0010
Country : US
Telephone Number : 410-955-5255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2023
Last Update Date : 07/06/2023

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Directions to “ LAURA DANIELLE SELWAY RN, PCNS-BC” Practice Location

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