Provider Demographics
NPI:1447942677
Name:ELA, CHELSEA MICHELLE (APRN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MICHELLE
Last Name:ELA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:ELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:146 SARGENT RD
Mailing Address - Street 2:
Mailing Address - City:CENTER CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03813-4417
Mailing Address - Country:US
Mailing Address - Phone:712-370-2648
Mailing Address - Fax:
Practice Address - Street 1:3073 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-7101
Practice Address - Country:US
Practice Address - Phone:603-356-5472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH082663-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily