Provider Demographics
NPI:1487370680
Name:SCHNEIDER, CHELSEY KAY (NP)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:KAY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 BELLEFONTAINE ST
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-9733
Mailing Address - Country:US
Mailing Address - Phone:989-494-2973
Mailing Address - Fax:
Practice Address - Street 1:2517 E MOUNT HOPE AVE STE 9
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1931
Practice Address - Country:US
Practice Address - Phone:989-494-2973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704329194163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse