National Provider Identifier

Chelsea Stadt, LPN

Chelsea Stadt, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 410-2779.

NPI 1912323817Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1912323817
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 16, 2014
Last Updated
June 05, 2014

Practice Location

  • 24 Broxbourne Dr
  • Fairport, NY 14450-1720

Phone: (585) 410-2779

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912323817
Entity Type
Individual
Last Name
Stadt
First Name
Chelsea
Credential
LPN
Provider Other Last Name
Stadt
Provider Other First Name
Chelsea
Provider Other Middle Name
Ryen
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
24 Broxbourne Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1720
Mailing Country
US
Mailing Phone
(585) 410-2779
Practice Street Address
24 Broxbourne Dr
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1720
Practice Country
US
Practice Phone
(585) 410-2779
Enumeration Date
March 16, 2014
Last Updated
June 05, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)