Healthcare Provider Details

I. General information

NPI: 1023650389
Provider Name (Legal Business Name): CHELSEY MARIE WARNER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12880 COLORADO BLVD UNIT 100
THORNTON CO
80241-2161
US

IV. Provider business mailing address

1620 8TH ST UNIT 1214
GOLDEN CO
80401-1243
US

V. Phone/Fax

Practice location:
  • Phone: 303-451-6767
  • Fax:
Mailing address:
  • Phone: 720-650-8428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0997608-CRNA
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704304175
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: