Provider Demographics
NPI:1295544872
Name:SELLAN, NICOLE BH (BA)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:BH
Last Name:SELLAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:B
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8540 OAK VILLAGE BLVD # 8540
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9564
Mailing Address - Country:US
Mailing Address - Phone:603-540-6598
Mailing Address - Fax:
Practice Address - Street 1:8540 OAK VILLAGE BLVD # 8540
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9564
Practice Address - Country:US
Practice Address - Phone:603-540-6598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant