Provider Demographics
NPI:1891243499
Name:KELLEY-SELLNAU, LIV (ARNP FNP-BC PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:LIV
Middle Name:
Last Name:KELLEY-SELLNAU
Suffix:
Gender:F
Credentials:ARNP FNP-BC PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 A AVE NE STE 105
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5060
Mailing Address - Country:US
Mailing Address - Phone:319-368-5992
Mailing Address - Fax:
Practice Address - Street 1:855 A AVE NE STE 105
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5060
Practice Address - Country:US
Practice Address - Phone:319-368-5992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA119304363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health