Healthcare Provider Details

I. General information

NPI: 1265362412
Provider Name (Legal Business Name): CHELSEY DURNAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MONTGOMERY ST
DECORAH IA
52101-2364
US

IV. Provider business mailing address

28146 HARDING RD
CLERMONT IA
52135-8610
US

V. Phone/Fax

Practice location:
  • Phone: 563-382-2911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number138144
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: