Provider Demographics
NPI:1982368429
Name:EHMAN-CHAPMAN, LISA (CNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:EHMAN-CHAPMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 318
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:OH
Mailing Address - Zip Code:45674-0318
Mailing Address - Country:US
Mailing Address - Phone:740-245-0033
Mailing Address - Fax:740-245-0031
Practice Address - Street 1:100 STATE ROUTE 325 SOUGH
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:OH
Practice Address - Zip Code:45674
Practice Address - Country:US
Practice Address - Phone:740-245-0033
Practice Address - Fax:740-245-0031
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily