Healthcare Provider Details

I. General information

NPI: 1689864001
Provider Name (Legal Business Name): SUZANNE ANNETTE CHAPIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 03/07/2023
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24372 VANOWEN ST STE 101
WEST HILLS CA
91307-2800
US

IV. Provider business mailing address

24372 VANOWEN ST STE 101
WEST HILLS CA
91307-2800
US

V. Phone/Fax

Practice location:
  • Phone: 818-963-8188
  • Fax:
Mailing address:
  • Phone: 818-963-8188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNPF4584
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4584
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number388185
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number388185
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: