Provider Demographics
NPI:1760615074
Name:TWAMLEY, CHELSEA J (CNP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:J
Last Name:TWAMLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:J
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3801 S ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6565
Mailing Address - Country:US
Mailing Address - Phone:605-306-6100
Mailing Address - Fax:605-306-6500
Practice Address - Street 1:3801 S ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6565
Practice Address - Country:US
Practice Address - Phone:605-306-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0108558363LF0000X
SDCP000563363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily