Provider Demographics
NPI:1760168702
Name:CHAPMAN, SHIRLEY ANNE (RN)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANNE
Last Name:CHAPMAN
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 1:1215 SHENANDOAH DR E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3727
Mailing Address - Country:US
Mailing Address - Phone:206-601-0651
Mailing Address - Fax:
Practice Address - Street 1:1215 SHENANDOAH DR E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3727
Practice Address - Country:US
Practice Address - Phone:206-601-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist