Healthcare Provider Details

I. General information

NPI: 1851256317
Provider Name (Legal Business Name): CHELSEY BURBACH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7898 E ACOMA DR STE 106
SCOTTSDALE AZ
85260-3480
US

IV. Provider business mailing address

4711 E NOCONA LN
PHOENIX AZ
85050-8865
US

V. Phone/Fax

Practice location:
  • Phone: 480-571-6721
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number258079
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: