Provider Demographics
NPI:1255916177
Name:GIESEN, CHELSEA (RN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:GIESEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:KALTENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2553 CHICAGO ST APT 20
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4193
Mailing Address - Country:US
Mailing Address - Phone:949-812-1595
Mailing Address - Fax:
Practice Address - Street 1:2553 CHICAGO ST APT 20
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4193
Practice Address - Country:US
Practice Address - Phone:949-812-1595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95185559163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice