Provider Demographics
NPI:1730862434
Name:MERLINO, CHELSEY MICHELLE (NDTR)
Entity type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:MICHELLE
Last Name:MERLINO
Suffix:
Gender:F
Credentials:NDTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 CULPEPPER DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-9215
Mailing Address - Country:US
Mailing Address - Phone:177-568-6846
Mailing Address - Fax:
Practice Address - Street 1:3429 CULPEPPER DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9215
Practice Address - Country:US
Practice Address - Phone:177-568-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV86301099133NN1002X, 171400000X, 174H00000X, 136A00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator
No133N00000XDietary & Nutritional Service ProvidersNutritionist