Provider Demographics
NPI:1518405109
Name:HOLDEN, CHELSEY (NP)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7838 LAGO MIST WAY
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4887
Mailing Address - Country:US
Mailing Address - Phone:816-806-6599
Mailing Address - Fax:
Practice Address - Street 1:7838 LAGO MIST WAY
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4887
Practice Address - Country:US
Practice Address - Phone:816-806-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV873936363L00000X
CA95028938363L00000X
DC500009720363L00000X
MA2389091363L00000X
IL209.029190363L00000X
MDAC005995363L00000X
TX1130862363L00000X
SDCP002839363L00000X
AZRNP303209363L00000X
NY353121363L00000X
FL11017890363L00000X
ID77788363L00000X
UT13719371-4405363L00000X
NM73870363L00000X
KS53-77560-102363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner