Provider Demographics
NPI:1932625597
Name:STASCHIAK CHAPMAN, YVONNE MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:STASCHIAK CHAPMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:MARIE
Other - Last Name:STASCHIAK CHAPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:37 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-2235
Mailing Address - Country:US
Mailing Address - Phone:304-473-5600
Mailing Address - Fax:304-472-1341
Practice Address - Street 1:37 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-2235
Practice Address - Country:US
Practice Address - Phone:304-473-5600
Practice Address - Fax:304-472-1341
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV81439363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily