| Doctor Name: | NANCY W SELIX |
| NPI Number: | 1063794584 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM, FNP |
| License Number: | 12072 |
| Business Practice Address: | 957 W California Ave Mill Valley, CA - 949414449 |
| Business Phone Number: | 4154973029 |
| Business Fax Number: | |
| Mailing Address: | 1411 E 31st St, OAKLAND |
| State: | CA |
| Postal Code: | 946021018 |
| Phone Number: | 5104374800 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2011 |
| NPI Last Update Date: | 04/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 12072 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |