Healthcare Provider Details

I. General information

NPI: 1255267910
Provider Name (Legal Business Name): CHELSEY MROZINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N INGALLS ST
ANN ARBOR MI
48109-2003
US

IV. Provider business mailing address

4663 GARFIELD RD
AUBURN MI
48611-9437
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-7304
  • Fax:
Mailing address:
  • Phone: 989-890-5308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704382016
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: