MEDICARE: CHRISTINA SELLERS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704212604	MI

General Provider Information

NPI Number	:	1215304415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SELLERS FNP-C

Provider Business Mailing Address
First Line	:	601 JOHN STREET
Second Line	:	BOX 42
City	:	KALAMAZOO
State	:	MI
Zip	:	49007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 STADIUM DR
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-9423
Country	:	US
Telephone Number	:	269-345-0273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	09/14/2023

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Directions to “ CHRISTINA SELLERS FNP-C” Practice Location

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