MEDICARE: BRIANNA CHAPMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	4703130584	MI

General Provider Information

NPI Number	:	1255296786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA CHAPMAN

Provider Business Mailing Address
First Line	:	5171 WESTWICK DR
Second Line	:
City	:	WAYNE
State	:	MI
Zip	:	48184-2555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 WESTWICK DR
Second Line	:
City	:	WAYNE
State	:	MI
Zip	:	48184-2555
Country	:	US
Telephone Number	:	313-844-9670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ BRIANNA CHAPMAN ” Practice Location

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