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NPI Code Detail

MEDICARE: CHELSEY ANN WENDEL

MEDICARE:   CHELSEY ANN WENDEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistF25-127714UT

General Provider Information

NPI Number : 1033062617
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY ANN WENDEL
Provider Business Mailing Address
First Line : 2480 S MAIN ST STE 108
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2480 S MAIN ST STE 108
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-5002
Country : US
Telephone Number : 385-775-1484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ CHELSEY ANN WENDEL ” Practice Location

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