Basic Information
| Provider Information | |||||||||
| NPI: | 1104410968 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAPMAN | ||||||||
| FirstName: | CINDY | ||||||||
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| Credential: | NURSE PRACTITIONER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11310 N 580 E | ||||||||
| Address2: | |||||||||
| City: | DEMOTTE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463108940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2196886501 | ||||||||
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| Practice Location | |||||||||
| Address1: | 90 W 86TH AVE | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107086 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197911555 | ||||||||
| FaxNumber: | 2197911560 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2021 | ||||||||
| LastUpdateDate: | 07/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 28223428A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.