Provider Demographics
NPI:1902569114
Name:HAYES, CHELSEA ANNE-ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANNE-ELIZABETH
Last Name:HAYES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13327 WISDOM WAY
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-1513
Mailing Address - Country:US
Mailing Address - Phone:240-970-7300
Mailing Address - Fax:
Practice Address - Street 1:13327 WISDOM WAY
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-1513
Practice Address - Country:US
Practice Address - Phone:240-970-7300
Practice Address - Fax:240-231-9755
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR247736163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR247736OtherMARYLAND BOARD OF NURSING