Provider Demographics
NPI:1205456373
Name:NUTSCH, CHELSIE VICTORIA (NP-C)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:VICTORIA
Last Name:NUTSCH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:VICTORIA
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:408 W DARLENE ST
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-4806
Mailing Address - Country:US
Mailing Address - Phone:402-806-0252
Mailing Address - Fax:
Practice Address - Street 1:1410 N 13TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2669
Practice Address - Country:US
Practice Address - Phone:402-371-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-19
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113134363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner