MEDICARE: MRS. REGINA LAFAYE CHAPMAN APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95030220	CA

General Provider Information

NPI Number	:	1699514265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REGINA LAFAYE CHAPMAN APRN

Provider Business Mailing Address
First Line	:	PO BOX 81258
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-1258
Country	:	US
Telephone Number	:	559-479-9051
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 81258
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-1258
Country	:	US
Telephone Number	:	559-479-9051
Fax Number	:

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

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	09/11/2025

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