Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 7102123A | IN |
NPI | 1003353038 |
---|---|
Provider Name | Chelsea Lauren Maucher |
First Address | New York, NY 10128-2315 |
Second Address | Indianapolis, IN 46260-1983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2017 |
Last Update Date | 25/01/2022 |