Healthcare Provider Details

I. General information

NPI: 1679488548
Provider Name (Legal Business Name): CAMIA SELLERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 AMES AVE
OMAHA NE
68104-2702
US

IV. Provider business mailing address

5035 N 57TH ST
OMAHA NE
68104-2103
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-0737
  • Fax:
Mailing address:
  • Phone: 402-590-9662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number101999
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: