Individual
CHELSEY ANN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
1200 6TH ST STE 400, TRAVERSE CITY, MI 49684-2369
(231) 392-0650
(231) 392-0665
Mailing address
1035 ONTARIO ST, OXNARD, CA 93035-1516
(707) 486-0438
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
4704368892
MI
Other
Enumeration date
10/16/2020
Last updated
01/04/2022
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