Basic Information
| Provider Information | |||||||||
| NPI: | 1104165752 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WORRELL | ||||||||
| FirstName: | CHELSIE | ||||||||
| MiddleName: | DE CASTROVERDE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN, APRN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 512 OLD HICKORY BLVD | ||||||||
| Address2: | APT 1822 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372095191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155737053 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2011 CHURCH STREET | ||||||||
| Address2: | SUITE 805 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153208585 | ||||||||
| FaxNumber: | 6153208565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2013 | ||||||||
| LastUpdateDate: | 02/01/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 17330 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LF0000X | 17330 | TN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.