Provider Demographics
NPI:1881926228
Name:STELLY, CHET D (NP)
Entity type:Individual
Prefix:
First Name:CHET
Middle Name:D
Last Name:STELLY
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:4401 CHEMIN METAIRE PKWY
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6684
Mailing Address - Country:US
Mailing Address - Phone:337-856-7500
Mailing Address - Fax:337-856-7502
Practice Address - Street 1:4401 CHEMIN METAIRE PKWY
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-6684
Practice Address - Country:US
Practice Address - Phone:337-856-7500
Practice Address - Fax:337-856-7502
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2022-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP05991363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP05991OtherLICENSE