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Individual

TERESA SELLARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
185 S MOORMAN AVE, SIERRA VISTA, AZ 85635-2700
(520) 458-3932
(520) 458-3585
Mailing address
489 N ARROYO BLVD, NOGALES, AZ 85621-2644
(520) 287-4713
(520) 287-9794

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP2378
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098665
AHCCCS NO.
AZ
05
98665
AZ
Enumeration date
10/09/2006
Last updated
07/08/2007
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