Healthcare Provider Details

I. General information

NPI: 1124938972
Provider Name (Legal Business Name): CHELSEA PATTERSON BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2121 W HADLEY ST
MILWAUKEE WI
53206-1625
US

IV. Provider business mailing address

W53N869 CASTLE CT
CEDARBURG WI
53012-1513
US

V. Phone/Fax

Practice location:
  • Phone: 414-267-5520
  • Fax: 414-267-5515
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1105297-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: