Provider Demographics
NPI:1538531074
Name:SPAULDING, CHELSEA (LVN)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 BLUE HAZE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-3956
Mailing Address - Country:US
Mailing Address - Phone:682-225-3945
Mailing Address - Fax:817-534-5771
Practice Address - Street 1:6405 GREENBRIAR LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3037
Practice Address - Country:US
Practice Address - Phone:817-346-3022
Practice Address - Fax:817-534-5771
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328245164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse