Provider Demographics
NPI:1407273956
Name:SETH, CHELSIE SUEANN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSIE
Middle Name:SUEANN
Last Name:SETH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:CHELSIE
Other - Middle Name:SUEANN
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-1791
Mailing Address - Country:US
Mailing Address - Phone:952-442-2191
Mailing Address - Fax:952-442-8055
Practice Address - Street 1:601 W CHANDLER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MN
Practice Address - Zip Code:55307
Practice Address - Country:US
Practice Address - Phone:507-964-2271
Practice Address - Fax:507-964-5898
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-22
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNAG0314038363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care