Provider Demographics
NPI:1669246203
Name:SLAVEN, CHELSEY LASHAEA (APRN)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LASHAEA
Last Name:SLAVEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:LASHAEA
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-864-1472
Mailing Address - Fax:270-864-1693
Practice Address - Street 1:400 RAIDER WAY
Practice Address - Street 2:
Practice Address - City:STEAMS
Practice Address - State:KY
Practice Address - Zip Code:42647-6110
Practice Address - Country:US
Practice Address - Phone:844-435-0900
Practice Address - Fax:270-858-4029
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4011671363LF0000X
TN35067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily