Provider Demographics
NPI:1245422336
Name:CHAPMAN, CRISTINA P (OWNER/ADMINISTRATOR)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:P
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:OWNER/ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 S KOBUK AVE
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7831
Mailing Address - Country:US
Mailing Address - Phone:907-394-4200
Mailing Address - Fax:
Practice Address - Street 1:1943 W SUBURBAN DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-0782
Practice Address - Country:US
Practice Address - Phone:907-394-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator