Provider Demographics
NPI:1790958098
Name:CHAPMAN, AIMEE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:CATHERINE
Other - Last Name:AUSTRIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2500 HAMLIN DR
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2348
Mailing Address - Country:US
Mailing Address - Phone:313-561-5100
Mailing Address - Fax:734-941-4919
Practice Address - Street 1:2500 HAMLIN DR
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-2348
Practice Address - Country:US
Practice Address - Phone:313-561-5100
Practice Address - Fax:313-565-0309
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1790958098Medicaid
MI1790958098Medicaid
MI231943Medicare Oscar/Certification