Individual
CHELSEA SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3132 W MARCH LN, STOCKTON, CA 95219-2354
(209) 475-5500
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95011098
CA
Other
Enumeration date
03/15/2019
Last updated
09/19/2019
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