Provider Demographics
NPI:1699116582
Name:SEMRAU, CHELSEA JEANETTE (MS, PA-C)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JEANETTE
Last Name:SEMRAU
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST STE 705
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5526
Mailing Address - Country:US
Mailing Address - Phone:860-972-4341
Mailing Address - Fax:
Practice Address - Street 1:85 SEYMOUR ST STE 705
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5526
Practice Address - Country:US
Practice Address - Phone:860-972-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0166782086X0206X
CT3265363AM0700X, 363AS0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program