Provider Demographics
NPI:1891304457
Name:BROWN, CHELSEA WEDERMANN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:WEDERMANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:CHAVEZ
Other - Last Name:WEDERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1665
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-0900
Mailing Address - Country:US
Mailing Address - Phone:805-660-1380
Mailing Address - Fax:
Practice Address - Street 1:5562 PHILADELPHIA ST STE 301
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2499
Practice Address - Country:US
Practice Address - Phone:909-680-0701
Practice Address - Fax:866-593-3640
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily