Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Willie Sellers, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1154928463

Willie Sellers, AGACNP-BC is a Gerontology Nurse Practitioner in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

15354 W Charter Oak Rd
Surprise, AZ 85379-9184
Phone: (843) 616-4948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 248870 (AZ)

Record details

NPI number1154928463
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateSeptember 30, 2020

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