Provider Demographics
NPI:1427547421
Name:PELLO, CHELSEA ANASTASIA (RN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANASTASIA
Last Name:PELLO
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 1:1629 220TH ST SE STE 201
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8466
Mailing Address - Country:US
Mailing Address - Phone:425-486-1000
Mailing Address - Fax:425-939-5220
Practice Address - Street 1:1629 220TH ST SE STE 201
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8466
Practice Address - Country:US
Practice Address - Phone:425-486-1000
Practice Address - Fax:425-939-5220
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60464617163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management