Provider Demographics
NPI:1386919850
Name:LANDOLIN, CHELSEA (RN, NP)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:
Last Name:LANDOLIN
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MARKET ST STE 1107
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2920
Mailing Address - Country:US
Mailing Address - Phone:415-653-3100
Mailing Address - Fax:415-650-5004
Practice Address - Street 1:870 MARKET ST STE 1107
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2920
Practice Address - Country:US
Practice Address - Phone:415-653-3100
Practice Address - Fax:415-650-5004
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21620363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner