Healthcare Provider Details

I. General information

NPI: 1457908584
Provider Name (Legal Business Name): KIMBERLY SPAIN CHAPMAN MSN, APRN-BC, CCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7229 FOREST AVE STE 212
RICHMOND VA
23226-3765
US

IV. Provider business mailing address

14631 CLOVER RIDGE LN
CHESTERFIELD VA
23832-2603
US

V. Phone/Fax

Practice location:
  • Phone: 804-281-0248
  • Fax:
Mailing address:
  • Phone: 804-639-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number0015001026
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: