Provider Demographics
NPI:1386176618
Name:FAIRLEIGH, CHELSEA LAUREN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LAUREN
Last Name:FAIRLEIGH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870737 S TEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-6201
Mailing Address - Country:US
Mailing Address - Phone:405-562-0493
Mailing Address - Fax:
Practice Address - Street 1:3705 NW 63RD ST STE 101
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1937
Practice Address - Country:US
Practice Address - Phone:405-495-9270
Practice Address - Fax:405-669-3517
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL176768363LF0000X
OK104201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily