Basic Information
Provider Information
NPI: 1144778507
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARATA
FirstName: CHELSEA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 715 HORIZON DR STE 225
Address2:  
City: GRAND JUNCTION
State: CO
PostalCode: 815068743
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 515 28 3/4 RD
Address2:  
City: GRAND JUNCTION
State: CO
PostalCode: 815015016
CountryCode: US
TelephoneNumber: 9702634918
FaxNumber: 9706837278
Other Information
ProviderEnumerationDate: 09/14/2016
LastUpdateDate: 12/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN.1642755CON Nursing Service ProvidersRegistered Nurse 
163W00000X210179TNN Nursing Service ProvidersRegistered Nurse 
363LP0808XAPN.0992780-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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