Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chelsea Fairbanks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629316005

Chelsea Fairbanks is a Student in an Organized Health Care Education/Training Program in Novato, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

2536 Laguna Vista Dr
Novato, CA 94945-1526
Phone: (415) 250-0797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence D7571234 (CA)

Record details

NPI number1629316005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2013
Last updated in NPPESJanuary 20, 2013
Mailing address2536 Laguna Vista Dr, Novato, CA 94945-1526

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