Provider Demographics
NPI:1427452945
Name:LUEBKE, CHELSEA (FNP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:LUEBKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:PARTION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHELSEA SANDRIDGE
Mailing Address - Street 1:5615 DEAUVILLE BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706
Mailing Address - Country:US
Mailing Address - Phone:432-686-0321
Mailing Address - Fax:432-686-0664
Practice Address - Street 1:5615 DEAUVILLE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706
Practice Address - Country:US
Practice Address - Phone:423-686-0321
Practice Address - Fax:432-686-0664
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3439655-03Medicaid
TXMS3395539OtherDEA