Provider Demographics
NPI:1578246617
Name:SHERBURNE, CHELSEY OLGA (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:OLGA
Last Name:SHERBURNE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 STATE HIGHWAY 76
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:IA
Mailing Address - Zip Code:52140-7533
Mailing Address - Country:US
Mailing Address - Phone:507-459-7234
Mailing Address - Fax:
Practice Address - Street 1:40 1ST ST SE
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-2099
Practice Address - Country:US
Practice Address - Phone:563-568-3411
Practice Address - Fax:563-568-6139
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA175794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily