Individual
MADELINE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4491
Mailing address
3421 CRATER DR, EVANSVILLE, IN 47725-6844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3016773
KY
363LF0000X
Family Nurse Practitioner
Primary
71012018A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2021
Last updated
03/26/2024
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