Provider Demographics
NPI:1043947062
Name:DARNALL, CHELSEY (PA-C)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:DARNALL
Suffix:
Gender:F
Credentials: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:PO BOX 107
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56369-0107
Mailing Address - Country:US
Mailing Address - Phone:320-241-3536
Mailing Address - Fax:
Practice Address - Street 1:513 ASPEN COURT WEST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MN
Practice Address - Zip Code:56369
Practice Address - Country:US
Practice Address - Phone:320-241-3536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NVPA2742363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant