MEDICARE: MRS. KIM E CHAPMAN RN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	112925	MO
2	363LF0000X	Family Nurse Practitioner	CNP-02647	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164495602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIM E CHAPMAN RN FNP

Provider Business Mailing Address
First Line	:	420 COMMERCIAL ST
Second Line	:
City	:	STRAWBERRY POINT
State	:	IA
Zip	:	52076-9656
Country	:	US
Telephone Number	:	417-536-5043
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 COMMERCIAL ST
Second Line	:
City	:	STRAWBERRY POINT
State	:	IA
Zip	:	52076-9656
Country	:	US
Telephone Number	:	417-536-5043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	03/04/2016

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