Provider Demographics
NPI:1821477886
Name:HAGOPIAN, CHELSEA OLIVIA (DNP, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:OLIVIA
Last Name:HAGOPIAN
Suffix:
Gender:F
Credentials:DNP, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:OLIVIA
Other - Last Name:PHARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:802 CLIFTON HEIGHTS LN NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4253
Mailing Address - Country:US
Mailing Address - Phone:404-307-5004
Mailing Address - Fax:
Practice Address - Street 1:99 KROG ST NE UNIT C110
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2677
Practice Address - Country:US
Practice Address - Phone:404-885-8542
Practice Address - Fax:404-885-8547
Is Sole Proprietor?:No
Enumeration Date:2015-05-23
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002378363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care