=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881552735
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROSANNA SELLERS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 915 LAFAYETTE BLVD STE C
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-5667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-719-9170
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6513 COURTHOUSE RD
-----------------------------------------------------
City | SPOTSYLVANIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22551-5202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-719-9170
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WI0500X
-----------------------------------------------------
Taxonomy Name | Infusion Therapy Registered Nurse
-----------------------------------------------------
License Number | 8428631-3102
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------