Healthcare Provider Details

I. General information

NPI: 1275354623
Provider Name (Legal Business Name): CHELSEA L CLAWSON MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 RAYNOR PKWY
BELLEVUE NE
68123-2504
US

IV. Provider business mailing address

3802 RAYNOR PKWY STE 202
BELLEVUE NE
68123-2528
US

V. Phone/Fax

Practice location:
  • Phone: 531-366-1204
  • Fax:
Mailing address:
  • Phone: 531-366-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number115638
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: