Healthcare Provider Details

I. General information

NPI: 1104367978
Provider Name (Legal Business Name): CHELSEA E SLOZAK FNP-P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA E SKAZA FNP-P

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 05/08/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 UNION STREET
WEST SPRINGFIELD MA
01089
US

IV. Provider business mailing address

50 UNION STREET
WEST SPRINGFIELD MA
01089
US

V. Phone/Fax

Practice location:
  • Phone: 413-732-0040
  • Fax:
Mailing address:
  • Phone: 413-237-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2274333
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: