Provider Demographics
NPI:1740006626
Name:SINCLAIR, CHELSEY HARSHELL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:HARSHELL
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 SCOTT ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-2773
Mailing Address - Country:US
Mailing Address - Phone:724-875-5161
Mailing Address - Fax:
Practice Address - Street 1:1801 SELWAY DR
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-9314
Practice Address - Country:US
Practice Address - Phone:800-744-7494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT242771207Q00000X
MTNUR-APRN-LIC-242771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine