Provider Demographics
NPI:1083090690
Name:WALKER, CHELSEA NICOLE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:NICOLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:CHELSEA
Other - Middle Name:NICOLE
Other - Last Name:GUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-C
Mailing Address - Street 1:2128 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5604
Mailing Address - Country:US
Mailing Address - Phone:727-736-7733
Mailing Address - Fax:727-736-7740
Practice Address - Street 1:2128 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5604
Practice Address - Country:US
Practice Address - Phone:727-736-7733
Practice Address - Fax:727-736-7740
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9363161363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner