Healthcare Provider Details

I. General information

NPI: 1437405909
Provider Name (Legal Business Name): CHELSEA ENGEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 SW MARTIN DOWNS BLVD
PALM CITY FL
34990-2816
US

IV. Provider business mailing address

938 SW MARTIN DOWNS BLVD
PALM CITY FL
34990-2816
US

V. Phone/Fax

Practice location:
  • Phone: 772-221-7620
  • Fax: 772-221-9903
Mailing address:
  • Phone: 772-221-7620
  • Fax: 772-221-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9243454
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: