Provider Demographics
NPI:1790160745
Name:SELLERS, CATHERINE FRANCES (AGPCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:FRANCES
Last Name:SELLERS
Suffix:
Gender:F
Credentials:AGPCNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3404 WAKE FOREST RD
Mailing Address - Street 2:MOB 7, LOWER LEVEL
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7340
Mailing Address - Country:US
Mailing Address - Phone:919-862-5402
Mailing Address - Fax:919-954-3191
Practice Address - Street 1:3404 WAKE FOREST RD
Practice Address - Street 2:MOB 7, LOWER LEVEL
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7340
Practice Address - Country:US
Practice Address - Phone:919-862-5402
Practice Address - Fax:919-954-3191
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5007785363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC500785OtherNC STATE BOARD OF NURSING LICENSE NUMBER