Healthcare Provider Details

I. General information

NPI: 1497416663
Provider Name (Legal Business Name): CHELSEA R HOHENBERGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 W MAIN ST
GREENFIELD IN
46140-2062
US

IV. Provider business mailing address

725 W MAIN ST
GREENFIELD IN
46140-2062
US

V. Phone/Fax

Practice location:
  • Phone: 317-586-8633
  • Fax: 317-505-0432
Mailing address:
  • Phone: 317-586-8633
  • Fax: 317-505-0432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71012074A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: