Healthcare Provider Details

I. General information

NPI: 1720908726
Provider Name (Legal Business Name): ALEXIS SELLERS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SE DELAWARE AVE
ANKENY IA
50021-3454
US

IV. Provider business mailing address

1911 NW ABILENE RD
ANKENY IA
50023-4840
US

V. Phone/Fax

Practice location:
  • Phone: 515-225-0188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA192354
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: