Provider Demographics
NPI:1932453446
Name:CHAPPELL, LOIS MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:MARIE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 EAST ALLEGHENY AVENUE
Mailing Address - Street 2:NEHSON
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134
Mailing Address - Country:US
Mailing Address - Phone:215-926-3214
Mailing Address - Fax:215-926-3146
Practice Address - Street 1:840 SOUTH VALLEY FORGE ROAD
Practice Address - Street 2:CVS MINUTE CLINIC
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4242
Practice Address - Country:US
Practice Address - Phone:215-362-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily