Healthcare Provider Details

I. General information

NPI: 1003219072
Provider Name (Legal Business Name): CHELSEA STRATTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2014
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 KENNEDY DR
TORRINGTON CT
06790-7204
US

IV. Provider business mailing address

220 KENNEDY DR
TORRINGTON CT
06790-7204
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-7314
  • Fax:
Mailing address:
  • Phone: 860-489-7314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3180
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: