Healthcare Provider Details

I. General information

NPI: 1841488285
Provider Name (Legal Business Name): BARBARA MARIA CHANEY ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA MARIA SZEMPRUCH

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 VETERANS PARK DR SUITE 101
NAPLES FL
34109-0446
US

IV. Provider business mailing address

4957 19TH AVE SW
NAPLES FL
34116-5748
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-0918
  • Fax:
Mailing address:
  • Phone: 239-353-7899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number97374 - TEMPORARY
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: