Healthcare Provider Details

I. General information

NPI: 1164417028
Provider Name (Legal Business Name): DAWN CAROL CHAPELLE NEAL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN CAROL CHAPELLE CRNP

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 N UNION BLVD # 201A
COLORADO SPRINGS CO
80918
US

IV. Provider business mailing address

5090 CHAISE DR
COLORADO SPRINGS CO
80923-8711
US

V. Phone/Fax

Practice location:
  • Phone: 719-649-1902
  • Fax: 719-960-2407
Mailing address:
  • Phone: 719-649-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN0994645-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR125889
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: