Chappell, Mary Lou

Chappell, Mary Lou is an individual health care provider with primary practice located at 143 North St Suite #4, Auburn NY 13021-1852. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Chappell, Mary Lou can be contacted via phone (315) 252-5028.

Contact Information

Primary practice address
143 North St Suite #4 Auburn NY 13021-1852
Phone: (315) 252-5028
Fax: (315) 252-1587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 307356-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420219-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000976 New York

Profile Details

NPI number 1194899476
LBN Legal business name Chappell, Mary Lou
Credentials NP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194899476 NPPES
New York MEDICAID 03063027

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