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Individual

CHELSEA AGRICOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3575 TROVILLO RD, MORROW, OH 45152-8206
(513) 479-9224

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0036588
OH
363LP0200X
Pediatric Nurse Practitioner
224947
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087184
AZ
Enumeration date
09/30/2020
Last updated
08/19/2024
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