Healthcare Provider Details

I. General information

NPI: 1184534059
Provider Name (Legal Business Name): CHELSI HAHN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 E TULLY ST
CONVOY OH
45832-8864
US

IV. Provider business mailing address

533 E TULLY STREET
CONVOY OH
45832
US

V. Phone/Fax

Practice location:
  • Phone: 419-749-9100
  • Fax: 419-749-2026
Mailing address:
  • Phone: 419-749-9100
  • Fax: 419-749-2026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.447688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: