Provider Demographics
NPI:1114581626
Name:ROJAS, CHELSEA STEVENS
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:STEVENS
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHELSEA
Other - Middle Name:FOREE
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 TRIBAL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1515
Mailing Address - Country:US
Mailing Address - Phone:502-727-8459
Mailing Address - Fax:
Practice Address - Street 1:320 WHITTINGTON PKWY STE 301
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4919
Practice Address - Country:US
Practice Address - Phone:502-379-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1128982163W00000X, 367500000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program