Provider Demographics
NPI:1992511190
Name:GUYOT, CHELSEA ROSE (MSN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ROSE
Last Name:GUYOT
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 W BEHREND DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4125
Mailing Address - Country:US
Mailing Address - Phone:480-710-4707
Mailing Address - Fax:
Practice Address - Street 1:6558 W SCHMIDT ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1057
Practice Address - Country:US
Practice Address - Phone:480-710-4707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ316290163W00000X, 163WN0002X
AZLNA1000043009376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No163W00000XNursing Service ProvidersRegistered Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide