Provider Demographics
NPI:1457073702
Name:CHAPPELL, AMELIA CAROLYN
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:CAROLYN
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 1:1560 E WEST HWY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3209
Mailing Address - Country:US
Mailing Address - Phone:229-942-6191
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEW ENGLAND
Practice Address - Street 2:716 STEVENS AVENUE
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103
Practice Address - Country:US
Practice Address - Phone:207-221-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program