Healthcare Provider Details

I. General information

NPI: 1962561316
Provider Name (Legal Business Name): VIRGINIA MARIE CHAPMAN CNM,ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CANTON ST SUITE 6
MANCHESTER NH
03103-3524
US

IV. Provider business mailing address

PO BOX 215
SANBORNTON NH
03269-0215
US

V. Phone/Fax

Practice location:
  • Phone: 603-624-1638
  • Fax:
Mailing address:
  • Phone: 603-286-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number031409-23-01
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: