Healthcare Provider Details

I. General information

NPI: 1265939078
Provider Name (Legal Business Name): SHELIA CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 N TENAYA WAY STE 420
LAS VEGAS NV
89128-0642
US

IV. Provider business mailing address

8906 SPANISH RIDGE AVE STE 202
LAS VEGAS NV
89148-1319
US

V. Phone/Fax

Practice location:
  • Phone: 702-255-2022
  • Fax: 702-255-8810
Mailing address:
  • Phone: 702-330-3102
  • Fax: 702-912-4994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002911
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: