Individual
CHELSEA EVA CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP - BC
Contact information
Practice address
8881 FLETCHER PKWY STE 350&360, LA MESA, CA 91942-3134
(925) 282-1778
(415) 296-5299
Mailing address
8881 FLETCHER PKWY STE 350&360, LA MESA, CA 91942-3134
(925) 282-1778
(415) 296-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95139034
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025470
CA
Other
Enumeration date
12/07/2021
Last updated
09/26/2024
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