Provider Demographics
NPI:1154464774
Name:OTEY, MARGARET CHAPMAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:CHAPMAN
Last Name:OTEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1650 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-5511
Mailing Address - Country:US
Mailing Address - Phone:707-443-1275
Mailing Address - Fax:
Practice Address - Street 1:1650 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-5511
Practice Address - Country:US
Practice Address - Phone:707-443-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA199974163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent