Healthcare Provider Details

I. General information

NPI: 1235542184
Provider Name (Legal Business Name): CHELSEA L SZEPAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA L TIERNEY APRN

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HITCHCOCK WAY DARTMOUTH HITCHCOCK - URGENT APPTS
MANCHESTER NH
03104-4125
US

IV. Provider business mailing address

100 HITCHCOCK WAY DARTMOUTH HITCHCOCK - URGENT APPTS
MANCHESTER NH
03104-4125
US

V. Phone/Fax

Practice location:
  • Phone: 603-629-1870
  • Fax: 603-640-1228
Mailing address:
  • Phone: 603-629-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number064427-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: