Provider Demographics
NPI:1518395466
Name:KESIC-SELLERS, ARICKA (NP)
Entity Type:Individual
Prefix:
First Name:ARICKA
Middle Name:
Last Name:KESIC-SELLERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1494
Mailing Address - Country:US
Mailing Address - Phone:330-224-0184
Mailing Address - Fax:
Practice Address - Street 1:273 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1494
Practice Address - Country:US
Practice Address - Phone:330-224-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.381540163WP0808X
OHCOA.15768-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health