Provider Demographics
NPI:1093187395
Name:ALLEN, CHELSEA RENEE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:RENEE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:RENEE
Other - Last Name:PATNOUDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:308 E 93RD ST
Mailing Address - Street 2:APT 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5568
Mailing Address - Country:US
Mailing Address - Phone:517-881-4892
Mailing Address - Fax:
Practice Address - Street 1:223 EAST 34ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:646-558-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339551-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily