Provider Demographics
NPI:1477260974
Name:WEAKS, CHELSEA (RN, ACCNS-AG)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:WEAKS
Suffix:
Gender:F
Credentials:RN, ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2812
Mailing Address - Country:US
Mailing Address - Phone:508-446-3882
Mailing Address - Fax:
Practice Address - Street 1:634 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2812
Practice Address - Country:US
Practice Address - Phone:508-446-3882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185553364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist