Provider Demographics
NPI:1295524130
Name:SHERIAN, CHELSEY
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:SHERIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:SHIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 W ELLERY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-5724
Mailing Address - Country:US
Mailing Address - Phone:559-593-0814
Mailing Address - Fax:
Practice Address - Street 1:8455 N MILLBROOK AVE STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2152
Practice Address - Country:US
Practice Address - Phone:559-593-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034885363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner