Provider Demographics
NPI:1710613922
Name:SCHROEDL, CHELSEA R (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:R
Last Name:SCHROEDL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:ROSE
Other - Last Name:PITTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2115
Mailing Address - Country:US
Mailing Address - Phone:310-850-9556
Mailing Address - Fax:
Practice Address - Street 1:301 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2115
Practice Address - Country:US
Practice Address - Phone:310-850-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1637870163W00000X
COAPN.0997756-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse