Provider Demographics
NPI:1972319424
Name:ESQUEDA, CHELSI SAYWORD (DNP)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:SAYWORD
Last Name:ESQUEDA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:CHELSI
Other - Middle Name:SAYWORD
Other - Last Name:GRAVLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:MN
Mailing Address - Zip Code:56081-1923
Mailing Address - Country:US
Mailing Address - Phone:507-850-2152
Mailing Address - Fax:
Practice Address - Street 1:15051 GALAXIE AVE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-6987
Practice Address - Country:US
Practice Address - Phone:952-432-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily