Provider Demographics
NPI:1588223598
Name:FREY, CHELSEA L (RN, MSN, NP-C)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:L
Last Name:FREY
Suffix:
Gender:F
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1239 S SILVERADO DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-7040
Mailing Address - Country:US
Mailing Address - Phone:720-312-1294
Mailing Address - Fax:
Practice Address - Street 1:1310 FORTINO BLVD STE D
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2076
Practice Address - Country:US
Practice Address - Phone:719-582-1898
Practice Address - Fax:719-621-4098
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994923-NP363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology