Provider Demographics
NPI:1710341201
Name:MAJDALANY, CHELSEA IRENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:IRENE
Last Name:MAJDALANY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:IRENE
Other - Last Name:GOODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1985 WASHINGTON PARK LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3336
Mailing Address - Country:US
Mailing Address - Phone:734-660-3470
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DR
Practice Address - Street 2:3RD FLOOR CARDIOVASCULAR CENTER RECP C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5864
Practice Address - Country:US
Practice Address - Phone:888-287-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704253369163W00000X, 363L00000X
GARN282910163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse