Doctor Name: | CHELSEA LYNEE COMPITELLO |
NPI Number: | 1255715751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 5007729 |
Business Practice Address: | 1615 West Park Drive Suite 103 North Wilkesboro, NC - 28659 |
Business Phone Number: | 3368389553 |
Business Fax Number: | 3368389563 |
Mailing Address: | 1615 West Park Drive, Suite 103 NORTH WILKESBORO |
State: | NC |
Postal Code: | 28659 |
Phone Number: | 3368389553 |
Fax Number: | 3368389563 |
NPI Enumeration Date: | 07/14/2015 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5007729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |