Provider Demographics
NPI:1285487355
Name:NOLAN, CHELSIE NOELLE (RN)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:NOELLE
Last Name:NOLAN
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 1:521 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-2449
Mailing Address - Country:US
Mailing Address - Phone:570-601-7193
Mailing Address - Fax:
Practice Address - Street 1:521 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-2449
Practice Address - Country:US
Practice Address - Phone:570-601-7193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN699437163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine