Provider Demographics
NPI:1134739998
Name:MCMANAMY, CHELSEA A
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:A
Last Name:MCMANAMY
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 1:29227 W CLARENDON AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7136
Mailing Address - Country:US
Mailing Address - Phone:623-363-3294
Mailing Address - Fax:
Practice Address - Street 1:29227 W CLARENDON AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7136
Practice Address - Country:US
Practice Address - Phone:623-363-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program