Individual
CHELSEA MARIE VAN WAGENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NTP, RWS
Contact information
Practice address
1795 W MERGANZER DR, MERIDIAN, ID 83642-6187
(224) 636-3945
(224) 636-3945
Mailing address
1795 W MERGANZER DR, MERIDIAN, ID 83642-6187
(224) 636-3945
(224) 636-3945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11297815-3102
ID
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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