Provider Demographics
NPI:1912303918
Name:DINARDO, CHELSEA (RN BSN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:DINARDO
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 EVANSTON AVE N
Mailing Address - Street 2:APT 301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7240
Mailing Address - Country:US
Mailing Address - Phone:206-252-6157
Mailing Address - Fax:206-252-6344
Practice Address - Street 1:3013 S MOUNT BAKER BLVD
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6139
Practice Address - Country:US
Practice Address - Phone:206-252-6157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60356095163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN60359095Medicaid