MEDICARE: ANDREA SELKREGG

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
1	363L00000X	Nurse Practitioner	SP016642	PA

General Provider Information

NPI Number	:	1477003945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA SELKREGG

Provider Business Mailing Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	484-503-4500
Fax Number	:	484-503-4501

Provider Business Practice Location Address
First Line	:	1600 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5671
Country	:	US
Telephone Number	:	484-503-4500
Fax Number	:	484-503-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	01/07/2026

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Directions to “ ANDREA SELKREGG ” Practice Location

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