Provider Demographics
NPI:1033923578
Name:CHAPPELL, CHA'KQUALYA ANNTRINETT
Entity type:Individual
Prefix:MRS
First Name:CHA'KQUALYA
Middle Name:ANNTRINETT
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 CHAPEL RIDGE LN APT 3
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-8577
Mailing Address - Country:US
Mailing Address - Phone:402-510-7325
Mailing Address - Fax:
Practice Address - Street 1:7063 CROWN POINT AVE APT 316
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-5308
Practice Address - Country:US
Practice Address - Phone:402-510-7325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant