Provider Demographics
NPI:1679541890
Name:SELLERS, LINDA WELCH (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:WELCH
Last Name:SELLERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 2ND ST E STE 3A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1027
Mailing Address - Country:US
Mailing Address - Phone:941-746-7444
Mailing Address - Fax:941-746-1777
Practice Address - Street 1:250 2ND ST E STE 3A
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1027
Practice Address - Country:US
Practice Address - Phone:941-746-7444
Practice Address - Fax:941-746-1777
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1023322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY04J3OtherBCBS
FL302045200Medicaid
FL302045200Medicaid