Provider Demographics
NPI:1346385358
Name:CHAPPLE, BEVERLYN LORETTA (NP)
Entity Type:Individual
Prefix:
First Name:BEVERLYN
Middle Name:LORETTA
Last Name:CHAPPLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2147
Mailing Address - Country:US
Mailing Address - Phone:914-467-7314
Mailing Address - Fax:914-418-1044
Practice Address - Street 1:25 PERLMAN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5281
Practice Address - Country:US
Practice Address - Phone:845-426-7577
Practice Address - Fax:845-426-6006
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421141363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology