Individual
JUDITH BUNNELL SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N ROSE ST, FLAGSTAFF, AZ 86004-3659
(928) 213-6100
(928) 774-1652
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 213-6121
(928) 213-6136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP0560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720583
—
AZ
Enumeration date
08/06/2007
Last updated
08/06/2007
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