Healthcare Provider Details

I. General information

NPI: 1992635965
Provider Name (Legal Business Name): SIERRA MARIE CHAPMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 NE 12TH AVE
PLEASANT HILL IA
50327-8801
US

IV. Provider business mailing address

1045 68TH ST UNIT 3
WEST DES MOINES IA
50266-5711
US

V. Phone/Fax

Practice location:
  • Phone: 515-265-5348
  • Fax:
Mailing address:
  • Phone: 712-301-6095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberH190779
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: