Provider Demographics
NPI:1972340727
Name:HANER, CHELSEA (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HANER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E COOPER AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-3800
Mailing Address - Country:US
Mailing Address - Phone:919-414-4088
Mailing Address - Fax:
Practice Address - Street 1:525 E COOPER AVE STE 206
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-3800
Practice Address - Country:US
Practice Address - Phone:919-414-4088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1673212163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy