Provider Demographics
NPI:1881834075
Name:SELLS, CORRINNE RENEE (RN)
Entity type:Individual
Prefix:MS
First Name:CORRINNE
Middle Name:RENEE
Last Name:SELLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LAKESHORE DR
Mailing Address - Street 2:CLINTON PRIMARY SCHOOL
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-6002
Mailing Address - Country:US
Mailing Address - Phone:870-703-3731
Mailing Address - Fax:870-722-2765
Practice Address - Street 1:601 LAKESHORE DR
Practice Address - Street 2:CLINTON PRIMARY SCHOOL
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-6002
Practice Address - Country:US
Practice Address - Phone:870-703-3731
Practice Address - Fax:870-722-2765
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist