Individual
MRS. CHELSEA CHRISTY HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13737 NOEL RD, STE 1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
809953
TX
367500000X
Certified Registered Nurse Anesthetist
RN119290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200415060A
—
OK
05
—
296190601
—
TX
01
—
8474UC
BCBS
TX
01
—
P01045299
RAILROAD
TX
Enumeration date
10/13/2011
Last updated
05/22/2014
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