Provider Demographics
NPI:1942768239
Name:EARNHART, CHELSEY (DNP, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:EARNHART
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 E WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4927
Mailing Address - Country:US
Mailing Address - Phone:520-461-0881
Mailing Address - Fax:
Practice Address - Street 1:7875 E FLORENTINE RD STE A
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2284
Practice Address - Country:US
Practice Address - Phone:928-443-5599
Practice Address - Fax:928-443-5376
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ222757208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics