Provider Demographics
NPI:1568022853
Name:YAGER, CHELSEA CLAREANN (PA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:CLAREANN
Last Name:YAGER
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 1:806 TULIP ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-5081
Mailing Address - Country:US
Mailing Address - Phone:315-404-0442
Mailing Address - Fax:
Practice Address - Street 1:181 MAPLE ST STE A
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-1052
Practice Address - Country:US
Practice Address - Phone:315-842-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical