Provider Demographics
NPI:1114308632
Name:SCHIEFELBEIN, CHELSEY M (APRN)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:M
Last Name:SCHIEFELBEIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20470 N LAKE PLEASANT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-9708
Mailing Address - Country:US
Mailing Address - Phone:623-889-7566
Mailing Address - Fax:
Practice Address - Street 1:20470 N LAKE PLEASANT RD STE 102
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-9708
Practice Address - Country:US
Practice Address - Phone:236-889-7566
Practice Address - Fax:623-825-0231
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111807363LF0000X
MS901679363LF0000X
AZ248856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily