Provider Demographics
NPI:1639806425
Name:TRAVIS, CHELSEA LEEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:LEEANN
Last Name:TRAVIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 W FINLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST FINLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15377-2000
Mailing Address - Country:US
Mailing Address - Phone:724-470-4918
Mailing Address - Fax:
Practice Address - Street 1:575 HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-1901
Practice Address - Country:US
Practice Address - Phone:724-225-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist