Provider Demographics
NPI:1689600694
Name:SELLERS, EMILY A (FNP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:A
Last Name:SELLERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8134 E CACTUS RD
Mailing Address - Street 2:620
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5264
Mailing Address - Country:US
Mailing Address - Phone:480-314-0388
Mailing Address - Fax:480-314-0618
Practice Address - Street 1:8134 E CACTUS RD
Practice Address - Street 2:620
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5264
Practice Address - Country:US
Practice Address - Phone:480-314-0388
Practice Address - Fax:480-314-0618
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP1323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily