Healthcare Provider Details

I. General information

NPI: 1730546359
Provider Name (Legal Business Name): CHELSEA E MINERT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA E VOET

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY RD STE 426
OMAHA NE
68124-2323
US

IV. Provider business mailing address

7710 MERCY RD STE 426
OMAHA NE
68124-2323
US

V. Phone/Fax

Practice location:
  • Phone: 402-343-8650
  • Fax: 402-343-8545
Mailing address:
  • Phone: 402-343-8650
  • Fax: 402-343-8545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1986
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: