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Mr. Timothy Lyle Sellers, NP
Family Nurse Practitioner in Provo, Utah
NPI 1326523358

Timothy Lyle Sellers is a Family Nurse Practitioner based in Salt Lake City, UT and is specialized in Family. Timothy Lyle Sellers practices in Provo, UT and has the professional credentials of NP. The NPI Number for Timothy Lyle Sellers is 1326523358 and holds a License No. 9186424-4405 (Utah).

The current practice location address for Timothy Lyle Sellers is 395 W Cougar Blvd Ste 602, Provo, UT and can be reached out via phone at 801-257-7250.

Location: 395 W Cougar Blvd Ste 602, Provo, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326523358
Provider Name
Timothy Lyle Sellers
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
395 W Cougar Blvd Ste 602, Provo, UT, 84127-0128
Phone Number
801-257-7250
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9186424-4405 01 UT APRN LICENSE
95009908 01 CA NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
395 W Cougar Blvd Ste 602
City
Provo
State
Utah
Zip
84604-3331
Phone Number
801-257-7250
Fax Number
person
Provider Business Mailing Address Details
Address
395 W Cougar Blvd Ste 602
City
Provo
State
Utah
Zip
84604-3331
Phone Number
801-257-7250
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9186424-4405 (Utah)
Definition
Definition to come...
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