Provider Demographics
NPI:1104165752
Name:WORRELL, CHELSIE DE CASTROVERDE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHELSIE
Middle Name:DE CASTROVERDE
Last Name:WORRELL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:512 OLD HICKORY BLVD
Mailing Address - Street 2:APT 1822
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5191
Mailing Address - Country:US
Mailing Address - Phone:615-573-7053
Mailing Address - Fax:
Practice Address - Street 1:2011 CHURCH STREET
Practice Address - Street 2:SUITE 805
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2150
Practice Address - Country:US
Practice Address - Phone:615-320-8585
Practice Address - Fax:615-320-8565
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN17330363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily