Healthcare Provider Details

I. General information

NPI: 1932339678
Provider Name (Legal Business Name): CHRISTINA L SELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA L HOLMES ARNP

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 08/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 N MAYFAIR ST
SPOKANE WA
99208
US

IV. Provider business mailing address

24077 EPPERSON AVE
GLENWOOD IA
51534-5102
US

V. Phone/Fax

Practice location:
  • Phone: 509-462-2273
  • Fax: 509-462-2275
Mailing address:
  • Phone: 95-590-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA0209186
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: