Provider Demographics
NPI:1710602438
Name:CHIPMAN, GLENDA E (RN)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:E
Last Name:CHIPMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 BRENNAN CIR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-7045
Mailing Address - Country:US
Mailing Address - Phone:303-809-8625
Mailing Address - Fax:
Practice Address - Street 1:670 BRENNAN CIR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-7045
Practice Address - Country:US
Practice Address - Phone:303-809-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider