Healthcare Provider Details

I. General information

NPI: 1033038690
Provider Name (Legal Business Name): CHELSEA CHAMBERS PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 WESTWOOD OFFICE PARK
FREDERICKSBURG VA
22401-5116
US

IV. Provider business mailing address

702 WESTWOOD OFFICE PARK
FREDERICKSBURG VA
22401-5116
US

V. Phone/Fax

Practice location:
  • Phone: 540-300-7445
  • Fax: 540-554-6635
Mailing address:
  • Phone: 540-300-7445
  • Fax: 540-554-6635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number46EEF56BD5265570
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: