Provider Demographics
NPI:1629289699
Name:HOLLINGSHEAD, CHELSI ELIZA (APRN, PSYCHIATRIC/ME)
Entity Type:Individual
Prefix:MRS
First Name:CHELSI
Middle Name:ELIZA
Last Name:HOLLINGSHEAD
Suffix:
Gender:F
Credentials:APRN, PSYCHIATRIC/ME
Other - Prefix:MRS
Other - First Name:CHELSI
Other - Middle Name:ELIZA
Other - Last Name:MACMURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NURSE PRACTITI
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:833-442-2670
Mailing Address - Fax:
Practice Address - Street 1:5373 S GREEN ST STE 400
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-4740
Practice Address - Country:US
Practice Address - Phone:833-442-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT270366-4405363LP0808X, 363LP0808X
UT270366-3900363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health