Individual
CHELSEY BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2102 IDAHO ST, ELKO, NV 89801
(801) 682-5565
(775) 360-3602
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1982
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275947624
—
NV
01
—
PA1982
NV PA LICENSE
NV
Enumeration date
06/13/2014
Last updated
12/14/2023
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