Provider Demographics
NPI:1720702442
Name:VARNELL, CHELSEA GUINN (MSN, CRNA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:GUINN
Last Name:VARNELL
Suffix:
Gender:F
Credentials:MSN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 CITY STATION DR APT 209
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7143
Mailing Address - Country:US
Mailing Address - Phone:423-715-9704
Mailing Address - Fax:
Practice Address - Street 1:MEMORIAL HOSPITAL
Practice Address - Street 2:2525 DESALES AVE
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404
Practice Address - Country:US
Practice Address - Phone:423-495-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN187648163W00000X
TN32643367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN187648OtherREGISTERED NURSING LICENSE
143462OtherNBCRNA CERTIFICATION NUMBER
TN32643OtherADVANCED PRACTICE REGISTERED NURSE LICENSE
143462OtherAMERICAN ASSOCIATION OF NURSE ANESTHETISTS