Provider Demographics
NPI:1780913293
Name:CHAPMAN, MADELINE (LVN, LPN)
Entity type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LVN, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5062 CHASITY CT
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-8103
Mailing Address - Country:US
Mailing Address - Phone:530-990-0087
Mailing Address - Fax:
Practice Address - Street 1:2057 FOREST AVE STE 7
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7627
Practice Address - Country:US
Practice Address - Phone:530-566-9025
Practice Address - Fax:530-893-6103
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN225896251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care