Provider Demographics
NPI:1700561073
Name:CHAPMAN, TAMIRA L
Entity type:Individual
Prefix:
First Name:TAMIRA
Middle Name:L
Last Name:CHAPMAN
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 1:10683 KINGSTON WHISLER RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45644-9627
Mailing Address - Country:US
Mailing Address - Phone:740-703-1678
Mailing Address - Fax:
Practice Address - Street 1:10683 KINGSTON WHISLER RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:OH
Practice Address - Zip Code:45644-9627
Practice Address - Country:US
Practice Address - Phone:740-703-1678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker