Provider Demographics
NPI:1043688989
Name:CHAPMAN, MAUREEN (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 N PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ROYAL
Mailing Address - State:SC
Mailing Address - Zip Code:29935-2029
Mailing Address - Country:US
Mailing Address - Phone:843-524-8151
Mailing Address - Fax:843-524-1954
Practice Address - Street 1:1835 N PARIS AVE
Practice Address - Street 2:
Practice Address - City:PORT ROYAL
Practice Address - State:SC
Practice Address - Zip Code:29935-2029
Practice Address - Country:US
Practice Address - Phone:843-524-8151
Practice Address - Fax:843-524-1954
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3384367A00000X
PAMW008326L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA058201Medicare PIN
PAS32679Medicare UPIN