Individual provider · Type 1 NPI

Vadim Selyukov

Primary Care Nurse Practitioner · Philadelphia, PA

NPI number 1205306545 Active

Practice location

8815 Germantown Ave Ste 16
Philadelphia, PA 19118-2722

Call (215) 242-1159 Map

Mailing address

1102 Little Ln
Warminster, PA 18974-1963

Other practice locations

  • 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 · (215) 242-1159

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP019675 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1205306545

Vadim Selyukov's National Provider Identifier is 1205306545, issued on Nov 29, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 27, 2019.