Provider Demographics
NPI:1487294708
Name:DAYRIT, CHELSI (FNP-C)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:
Last Name:DAYRIT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 CALLE FORTUNA
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-3023
Mailing Address - Country:US
Mailing Address - Phone:310-941-1531
Mailing Address - Fax:
Practice Address - Street 1:9675 BRIGHTON WAY STE 380
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5187
Practice Address - Country:US
Practice Address - Phone:310-941-1531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily