Provider Demographics
NPI:1982907226
Name:SELOVER, ANNE H (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:H
Last Name:SELOVER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4264 MONTEZUMA CRSE
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-6855
Mailing Address - Country:US
Mailing Address - Phone:315-491-7783
Mailing Address - Fax:
Practice Address - Street 1:428 WEST ONONDAGA ST.
Practice Address - Street 2:FAMILY PLANNING SERVICES
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202
Practice Address - Country:US
Practice Address - Phone:315-435-3685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7138056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily