Provider Demographics
NPI:1548834518
Name:BURRIDGE, CHELSEA RAE (LPN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:RAE
Last Name:BURRIDGE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2150
Mailing Address - Country:US
Mailing Address - Phone:781-850-6411
Mailing Address - Fax:
Practice Address - Street 1:1 GRIFFIN BROOK DR STE 100
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1865
Practice Address - Country:US
Practice Address - Phone:978-689-6523
Practice Address - Fax:978-681-0459
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN96563164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse