Provider Demographics
NPI:1164775243
Name:CHAPMAN, CHRISTINE B (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:B
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10002 SHOPS WAY STE A
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532
Mailing Address - Country:US
Mailing Address - Phone:508-919-8190
Mailing Address - Fax:508-919-8191
Practice Address - Street 1:10002 SHOPS WAY STE A
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532
Practice Address - Country:US
Practice Address - Phone:508-919-8190
Practice Address - Fax:508-919-8191
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276372363LF0000X
VA0024170453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily