| NPI | 1073221628 |
|---|---|
| Former Name | STEPHANIE NICOLE CHAPPELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81343-062) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 81343) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-28 |