Provider Demographics
NPI:1851308795
Name:HANSEL, CHELSEY R (PAC)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:R
Last Name:HANSEL
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:2114 N LINCOLN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1072
Mailing Address - Country:US
Mailing Address - Phone:402-362-0615
Mailing Address - Fax:402-362-7137
Practice Address - Street 1:3269 STOCKTON HILL RD
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-3619
Practice Address - Country:US
Practice Address - Phone:928-757-0626
Practice Address - Fax:928-692-2706
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2024-03-18
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Provider Licenses
StateLicense IDTaxonomies
NE1465363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant