Provider Demographics
NPI:1568271153
Name:COLBY, CHELSEA LOUISE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LOUISE
Last Name:COLBY
Suffix:
Gender:
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15815 S LAKEWOOD PKWY W APT 1059
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-5847
Mailing Address - Country:US
Mailing Address - Phone:575-405-9932
Mailing Address - Fax:
Practice Address - Street 1:9060 E VIA LINDA
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5422
Practice Address - Country:US
Practice Address - Phone:480-614-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ232456163W00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse