Individual
CHELSEA BEATRICE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 CYPRESS DR APT F, LAGUNA BEACH, CA 92651-1641
(909) 912-9863
Mailing address
486 CYPRESS DR APT F, LAGUNA BEACH, CA 92651-1641
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95039300
CA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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