Healthcare Provider Details

I. General information

NPI: 1790456671
Provider Name (Legal Business Name): CHELSEA MARIA WEIGHTMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 RIVER PARK DR STE 200
SACRAMENTO CA
95815-4506
US

IV. Provider business mailing address

137 PIQUE LOOP APT 101
FOLSOM CA
95630-6657
US

V. Phone/Fax

Practice location:
  • Phone: 877-667-8770
  • Fax:
Mailing address:
  • Phone: 209-535-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number569850
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95380313
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: