Provider Demographics
NPI:1427557859
Name:ORRELL, CHELSEA REGAN
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:REGAN
Last Name:ORRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 AVENUE E
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-4405
Mailing Address - Country:US
Mailing Address - Phone:504-715-9420
Mailing Address - Fax:
Practice Address - Street 1:642 AVENUE E
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-4405
Practice Address - Country:US
Practice Address - Phone:504-715-9420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN148620163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAY19185993OtherLCMC HEALTH