Provider Demographics
NPI:1831537489
Name:MONTES DE OCA, CHELSEY
Entity type:Individual
Prefix:MISS
First Name:CHELSEY
Middle Name:
Last Name:MONTES DE OCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 SAFE HARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-1137
Mailing Address - Country:US
Mailing Address - Phone:775-787-9411
Mailing Address - Fax:
Practice Address - Street 1:3700 SAFE HARBOR WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-1137
Practice Address - Country:US
Practice Address - Phone:775-787-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator