Doctor Name: | CAROLINE JOYCE SELLERS |
NPI Number: | 1043593189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 373908 |
Business Practice Address: | 23 Marvin Ave Shelby, OH - 448751169 |
Business Phone Number: | 4194621812 |
Business Fax Number: | 5678440066 |
Mailing Address: | 23 Marvin Ave, SHELBY |
State: | OH |
Postal Code: | 448751169 |
Phone Number: | 4194621812 |
Fax Number: | 5678440066 |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 373908 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |