Healthcare Provider Details

I. General information

NPI: 1952108797
Provider Name (Legal Business Name): CHELSEA MARCHINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 JENNER RD
NEWBURGH IN
47630-8176
US

IV. Provider business mailing address

7000 JENNER RD
NEWBURGH IN
47630-8176
US

V. Phone/Fax

Practice location:
  • Phone: 270-952-6233
  • Fax:
Mailing address:
  • Phone: 270-952-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28224212A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: