Provider Demographics
NPI:1952136350
Name:HARRIS, CHELSIE FRANQUE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:FRANQUE
Last Name:HARRIS
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 W 975 S
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-5135
Mailing Address - Country:US
Mailing Address - Phone:801-458-5749
Mailing Address - Fax:
Practice Address - Street 1:3124 W 975 S
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-5135
Practice Address - Country:US
Practice Address - Phone:385-269-1984
Practice Address - Fax:801-571-5643
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8684588-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily