Provider Demographics
NPI:1952662595
Name:NICHOLS, CHELSEA (PA-C, MSPAS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:PA-C, MSPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 SCHERTZ PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2929
Mailing Address - Country:US
Mailing Address - Phone:210-654-0944
Mailing Address - Fax:
Practice Address - Street 1:3746 SCHERTZ PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2929
Practice Address - Country:US
Practice Address - Phone:210-654-0944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant