Provider Demographics
NPI:1194308528
Name:TERAN, CHELSEA NOEL (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:NOEL
Last Name:TERAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8072 HARDWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-1014
Mailing Address - Country:US
Mailing Address - Phone:719-213-5979
Mailing Address - Fax:
Practice Address - Street 1:8072 HARDWOOD CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-1014
Practice Address - Country:US
Practice Address - Phone:719-213-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95194860163WM0102X
CO1627424163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn