Basic Information
Provider Information
NPI: 1780913293
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPMAN
FirstName: MADELINE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LVN, LPN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5062 CHASITY CT
Address2:  
City: PARADISE
State: CA
PostalCode: 959698103
CountryCode: US
TelephoneNumber: 5309900087
FaxNumber:  
Practice Location
Address1: 2057 FOREST AVE STE 7
Address2:  
City: CHICO
State: CA
PostalCode: 959287627
CountryCode: US
TelephoneNumber: 5305669025
FaxNumber: 5308936103
Other Information
ProviderEnumerationDate: 12/11/2009
LastUpdateDate: 12/11/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251J00000XVN225896CAY AgenciesNursing Care 

No ID Information.


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