Individual
NICOLE ELENA SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3937
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291244
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170205
VA
Other
Enumeration date
09/09/2011
Last updated
03/15/2024
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