Provider Demographics
NPI:1346136272
Name:CORD, CHELSEA DANIELLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:DANIELLE
Last Name:CORD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 TERRAMAR
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-3208
Mailing Address - Country:US
Mailing Address - Phone:217-417-1739
Mailing Address - Fax:
Practice Address - Street 1:26732 CROWN VALLEY PKWY STE 381
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7303
Practice Address - Country:US
Practice Address - Phone:949-364-4400
Practice Address - Fax:949-364-2829
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily