MEDICARE: CHELSEY HARSHELL SINCLAIR APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	242771	MT
2	363LF0000X	Family Nurse Practitioner	NUR-APRN-LIC-242771	MT

General Provider Information

NPI Number	:	1740006626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY HARSHELL SINCLAIR APRN, FNP-C

Provider Business Mailing Address
First Line	:	4615 SCOTT ALLEN DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-2773
Country	:	US
Telephone Number	:	724-875-5161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 SELWAY DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-9314
Country	:	US
Telephone Number	:	800-744-7494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	12/10/2024

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