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NPI Code Detail

MEDICARE: MRS. LOIS MARIE CHAPPELL FNP-C

MEDICARE: MRS. LOIS MARIE CHAPPELL FNP-C
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
1363LF0000XFamily Nurse PractitionerSP012403PA

General Provider Information

NPI Number : 1932453446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LOIS MARIE CHAPPELL FNP-C
Provider Business Mailing Address
First Line : 2301 EAST ALLEGHENY AVENUE
Second Line : NEHSON
City : PHILADELPHIA
State : PA
Zip : 19134
Country : US
Telephone Number : 215-926-3214
Fax Number : 215-926-3146
Provider Business Practice Location Address
First Line : 840 SOUTH VALLEY FORGE ROAD
Second Line : CVS MINUTE CLINIC
City : LANSDALE
State : PA
Zip : 19446-4242
Country : US
Telephone Number : 215-362-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2012
Last Update Date : 11/06/2012

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