Healthcare Provider Details

I. General information

NPI: 1457915290
Provider Name (Legal Business Name): CHELSEY INGERSOLL VRANES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEY INGERSOLL

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 E 10TH AVE STE 200
SALT LAKE CITY UT
84103-2869
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-5155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number11899065-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: