Healthcare Provider Details

I. General information

NPI: 1124581954
Provider Name (Legal Business Name): CHELSEA GOLDSTEIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA COX

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 HIGH ST
HANOVER PA
17331-1127
US

IV. Provider business mailing address

116 S GEORGE ST STE 301
YORK PA
17401-1443
US

V. Phone/Fax

Practice location:
  • Phone: 717-632-9052
  • Fax: 717-632-2388
Mailing address:
  • Phone: 717-801-4821
  • Fax: 717-854-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP020212
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: