| NPI | 1528678372 |
|---|---|
| Former Name | CHELSEY WAMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004151) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2025-05-02 |