Provider Demographics
NPI:1528557741
Name:PARSONEAULT, CHELSEA (PA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:PARSONEAULT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S ANAHEIM BLVD UNIT 110
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5287
Mailing Address - Country:US
Mailing Address - Phone:303-717-8761
Mailing Address - Fax:
Practice Address - Street 1:801 S ANAHEIM BLVD UNIT 110
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5287
Practice Address - Country:US
Practice Address - Phone:303-717-8761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant