Individual
MISTY DAWN SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 NORTH OAK DR, PLYMOUTH, IN 46563
(574) 936-3784
Mailing address
316 W MADISON ST, CULVER, IN 46511-1440
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28205621A
IN
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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