Individual
CHELSEY CANDIDA GERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(509) 312-5704
(844) 889-8902
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(509) 312-5704
(844) 889-8902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201600553RN
OR
163W00000X
Registered Nurse
RN61060790
WA
363L00000X
Nurse Practitioner
Primary
AP61144714
WA
Other
Enumeration date
09/17/2020
Last updated
08/22/2023
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