Provider Demographics
NPI:1093132706
Name:CHAPMAN, KARLA MARTINEZ (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:MARTINEZ
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MCCOLLUM ST
Mailing Address - Street 2:STE 203
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-5127
Mailing Address - Country:US
Mailing Address - Phone:307-745-8298
Mailing Address - Fax:
Practice Address - Street 1:204 MCCOLLUM ST
Practice Address - Street 2:STE 203
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-5127
Practice Address - Country:US
Practice Address - Phone:307-745-8298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPA842363AS0400X
TXPA16363363AS0400X
AZ5642363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical