Healthcare Provider Details

I. General information

NPI: 1154257681
Provider Name (Legal Business Name): MRS. CHELSEY CATE FLANAGAN
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: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13836 GRANADA WAY
APPLE VALLEY MN
55124-5058
US

IV. Provider business mailing address

13836 GRANADA WAY
APPLE VALLEY MN
55124-5058
US

V. Phone/Fax

Practice location:
  • Phone: 612-250-4342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2458804
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: