Provider Demographics
NPI:1093267353
Name:CHAPEL, MEREDITH
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:CHAPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:CHAPEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:14555 LEVAN RD. STE 403
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2780
Mailing Address - Country:US
Mailing Address - Phone:734-655-1618
Mailing Address - Fax:734-655-5997
Practice Address - Street 1:14555 LEVAN RD STE 403
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5085
Practice Address - Country:US
Practice Address - Phone:734-655-1618
Practice Address - Fax:734-655-5997
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704289805163W00000X, 363LA2200X
MIAG0816083363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse