| Doctor Name: | TERESA SELLARS |
| NPI Number: | 1124115191 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | AP2378 |
| Business Practice Address: | 185 S Moorman Ave Sierra Vista, AZ - 856352700 |
| Business Phone Number: | 5204583932 |
| Business Fax Number: | 5204583585 |
| Mailing Address: | 489 N Arroyo Blvd, NOGALES |
| State: | AZ |
| Postal Code: | 856212644 |
| Phone Number: | 5202874713 |
| Fax Number: | 5202879794 |
| NPI Enumeration Date: | 10/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP2378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |