Healthcare Provider Details

I. General information

NPI: 1497618003
Provider Name (Legal Business Name): ROBERT CHAPDELAINE JR. RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 CHESTNUT ST
SPRINGFIELD MA
01107-2007
US

IV. Provider business mailing address

4 MIAMI ST
SOUTH HADLEY MA
01075-3022
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-1431
  • Fax:
Mailing address:
  • Phone: 413-735-3284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN187773
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: