Provider Demographics
NPI:1356852016
Name:RORER, CHELSEA ANN (PMHNP-BC, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:RORER
Suffix:
Gender:F
Credentials:PMHNP-BC, AGACNP-BC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:ANN
Other - Last Name:WARDENSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 KAHELU AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3913
Mailing Address - Country:US
Mailing Address - Phone:808-400-5805
Mailing Address - Fax:866-756-3916
Practice Address - Street 1:100 KAHELU AVE STE 100
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3913
Practice Address - Country:US
Practice Address - Phone:808-400-5805
Practice Address - Fax:866-756-3916
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN3409363LA2100X, 363LP0808X
FLARNP9349684363LA2100X, 363LP0808X
GARN267073363LA2100X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023220100Medicaid