Provider Demographics
NPI:1437498037
Name:CHAPLIN, SANDRA MARIE (APRN-ACNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARIE
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:APRN-ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 ST. MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118
Mailing Address - Country:US
Mailing Address - Phone:803-747-7242
Mailing Address - Fax:803-747-7243
Practice Address - Street 1:3045 ST MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-8201
Practice Address - Country:US
Practice Address - Phone:803-747-7242
Practice Address - Fax:803-747-7243
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC58141163W00000X
SCAPN18181363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3549Medicaid
SC013OtherBCBS/BLUE CHOICE
SC7399Medicare PIN