Provider Demographics
NPI:1770191462
Name:FRISVOLD, CHELSEY (NP)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:FRISVOLD
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:MCALEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 ALONDRITA ST
Mailing Address - Street 2:
Mailing Address - City:CELESTE
Mailing Address - State:TX
Mailing Address - Zip Code:75423-6038
Mailing Address - Country:US
Mailing Address - Phone:972-816-9491
Mailing Address - Fax:972-850-7352
Practice Address - Street 1:981 STATE HIGHWAY 121 STE 4150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6150
Practice Address - Country:US
Practice Address - Phone:972-816-9491
Practice Address - Fax:972-850-7352
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112541363LF0000X, 363L00000X
TX862769163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUNKNOWNMedicaid