Provider Demographics
NPI:1437915394
Name:EMPETT, CHELSEA NICOLE
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:NICOLE
Last Name:EMPETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 S DEL RANCHO
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-7283
Mailing Address - Country:US
Mailing Address - Phone:702-769-7294
Mailing Address - Fax:
Practice Address - Street 1:6200 13TH AVE S FL 1
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2706
Practice Address - Country:US
Practice Address - Phone:206-461-6943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program