Provider Demographics
NPI:1184000903
Name:HARRIS, CHELSEA KATHLEEN (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:KATHLEEN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:KATHLEEN
Other - Last Name:KOENIGSEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:1838 NORTHWEST CT
Mailing Address - Street 2:APT. E
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1536
Mailing Address - Country:US
Mailing Address - Phone:419-944-6844
Mailing Address - Fax:
Practice Address - Street 1:651 S LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1965
Practice Address - Country:US
Practice Address - Phone:937-324-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.399547-1163W00000X
OHCOA.17383-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse