Provider Demographics
NPI:1538600655
Name:SAYLES, CHELSEA M (FNP-BC, RN)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:M
Last Name:SAYLES
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:245 AVERY LN
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13441-4237
Mailing Address - Country:US
Mailing Address - Phone:315-338-1200
Mailing Address - Fax:
Practice Address - Street 1:1500 N JAMES ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2844
Practice Address - Country:US
Practice Address - Phone:315-338-7184
Practice Address - Fax:315-338-1975
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY696466163W00000X
NY351999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY351999OtherNEW YORK STATE FNP LICENSE
NY696466OtherNEW YORK STATE REGISTERED PROFESSIONAL NURSE LICENSE NUMBER