Provider Demographics
NPI:1447854369
Name:MORRISSEY, CHELSIE HANNA (CRNP)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:HANNA
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:HANNA
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1550 RODNEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-9715
Mailing Address - Country:US
Mailing Address - Phone:717-846-8791
Mailing Address - Fax:
Practice Address - Street 1:1550 RODNEY RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-9715
Practice Address - Country:US
Practice Address - Phone:717-846-8791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103881018Medicaid