Marie Dianne Fochtman Seleny, APRN, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Honolulu, HI
NPI 1235331968 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1235331968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 186 (HI)
- Practice address
- 1319 Punahou St
Honolulu, HI 96826-1001 - Phone
- (808) 983-8676
- Fax
- (808) 983-8005
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186 | HI | MD | Dentist |
| 38274 | HI | MD | Pediatric Oncology Registered Nurse |
| 427 | HI | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Oncology Registered Nurse | 163WP0218X | 38274 | HI | |
| Pediatric Nurse Practitioner | 363LP0200X | 427 | HI | |
| Pediatric Nurse Practitioner | 363LP0200X | 186 | HI | Yes |
Addresses
Primary practice location
1319 Punahou St
Honolulu, HI 96826-1001
Mailing address
1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-8676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5695-2 | Other | HI | STATE PROVIDER NUMBER |
Other names
- Ms. M Dianne Fochtman
Other providers in Honolulu, HI
- Bret W. Flynn
- Helen D Flynn
- Jessie Flynn
- Mallory Jean Flynn
- Walter S O Fo
- Alexis Marie Fodran
- Rebecca Claire Fojas-Calimpong
- Raymond Alexander Folen
- Stephen Thomas Foley
- Hannah-Katherine Brooke Folkers
All providers in Honolulu, HI · Pediatric Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.