Provider Demographics
NPI:1871916056
Name:POLLEYS, CHELSEA (CNP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:POLLEYS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506 MONTGOMERY RD STE 301A
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4400
Mailing Address - Country:US
Mailing Address - Phone:513-246-2400
Mailing Address - Fax:513-246-4047
Practice Address - Street 1:10506 MONTGOMERY RD STE 301A
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-246-2400
Practice Address - Fax:513-246-4047
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH375310363LA2100X
OHCOA.15669-NP363LA2100X
OHAPRN.CNP.15669363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care