Provider Demographics
NPI:1407611460
Name:STEWART, CHELSEA RENEA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:RENEA
Last Name:STEWART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:CLARINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43915-0191
Mailing Address - Country:US
Mailing Address - Phone:740-213-3695
Mailing Address - Fax:
Practice Address - Street 1:187 W MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1157
Practice Address - Country:US
Practice Address - Phone:740-699-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH510506163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice