Healthcare Provider Details

I. General information

NPI: 1447504659
Provider Name (Legal Business Name): CHAPMAN AND ASSOCIATES HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 NATIONAL HWY
LAVALE MD
21502-7325
US

IV. Provider business mailing address

922 NATIONAL HWY
LAVALE MD
21502-7325
US

V. Phone/Fax

Practice location:
  • Phone: 240-362-7294
  • Fax: 240-362-7366
Mailing address:
  • Phone: 240-362-7294
  • Fax: 240-362-7366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR069415
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateMD

VIII. Authorized Official

Name: CATHY S CHAPMAN
Title or Position: NURSE PRACTITIONER
Credential: CRNP
Phone: 240-362-7294