Healthcare Provider Details

I. General information

NPI: 1487518635
Provider Name (Legal Business Name): CHELSEA ATHERTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 GASKINS RD STE B
HENRICO VA
23238-1483
US

IV. Provider business mailing address

3540 PUMP RD # 1057
HENRICO VA
23233-1115
US

V. Phone/Fax

Practice location:
  • Phone: 804-661-3454
  • Fax:
Mailing address:
  • Phone: 804-661-3454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number138604
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: