Provider Demographics
NPI:1558626051
Name:NUZUM, CHELSEY DIANNE (MSN ARNP FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:DIANNE
Last Name:NUZUM
Suffix:
Gender:F
Credentials:MSN ARNP FNP-BC
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:DIANNE
Other - Last Name:SPARGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN ARNP FNP-BC
Mailing Address - Street 1:484 CORBEL DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1169
Mailing Address - Country:US
Mailing Address - Phone:412-860-3391
Mailing Address - Fax:
Practice Address - Street 1:10501 FGCU BLVD S
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33965-6565
Practice Address - Country:US
Practice Address - Phone:239-590-7966
Practice Address - Fax:239-590-7575
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9282050363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care