MEDICARE: MRS. CHRISTYL LYNNE CHAPMAN FNP

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	363LP2300X	Primary Care Nurse Practitioner	95023975	CA

General Provider Information

NPI Number	:	1316795594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTYL LYNNE CHAPMAN FNP

Provider Business Mailing Address
First Line	:	1317 BRYANVIEW CIR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-6433
Country	:	US
Telephone Number	:	619-254-9924
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 BRYANVIEW CIR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-6433
Country	:	US
Telephone Number	:	619-254-9924
Fax Number	:

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

Provider Enumeration Date	:	05/10/2024
Last Update Date	:	05/13/2024

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