Provider Demographics
NPI:1033419916
Name:GUAY, CHELSEY JOHANNA
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:JOHANNA
Last Name:GUAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 N OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-9588
Mailing Address - Country:US
Mailing Address - Phone:906-280-7612
Mailing Address - Fax:
Practice Address - Street 1:542 CAMELOT CT
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-1880
Practice Address - Country:US
Practice Address - Phone:920-232-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171975-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse