Provider Demographics
NPI:1720839350
Name:DAVIS, CHELCEY M (STNA)
Entity Type:Individual
Prefix:MRS
First Name:CHELCEY
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:CHELCEY
Other - Middle Name:MARIE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1270 STATE ROUTE 183
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:OH
Mailing Address - Zip Code:44201-9574
Mailing Address - Country:US
Mailing Address - Phone:330-842-8503
Mailing Address - Fax:
Practice Address - Street 1:1270 STATE ROUTE 183
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:OH
Practice Address - Zip Code:44201-9574
Practice Address - Country:US
Practice Address - Phone:330-842-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide