Selwyn, Simon Maurice Sebastian

Selwyn, Simon Maurice Sebastian is an sole proprietor health care provider with primary practice located at 465 Waverly Oaks Rd , Waltham MA 02452-8438. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Selwyn, Simon Maurice Sebastian can be contacted via phone (617) 596-1975.

Contact Information

Primary practice address
465 Waverly Oaks Rd Waltham MA 02452-8438
Phone: (617) 596-1975
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2284419 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2284419 Massachusetts

Profile Details

NPI number 1821576935
LBN Legal business name Selwyn, Simon Maurice Sebastian
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2018
Last updated Mar 25th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821576935 NPPES
Massachusetts Other RN2284419 NURSING REGISTRATION BOARD

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