Provider Demographics
NPI:1285970392
Name:RICHARDSON, CHELSEY (DNP, ARNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23515 NE NOVELTY HILL RD STE B221
Mailing Address - Street 2:#170
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-9605
Mailing Address - Country:US
Mailing Address - Phone:424-558-0224
Mailing Address - Fax:
Practice Address - Street 1:2620 S WILLIAMS PL
Practice Address - Street 2:STE 110
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338
Practice Address - Country:US
Practice Address - Phone:509-349-3010
Practice Address - Fax:509-769-0944
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60318541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily