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Individual

ASHLEY CHAPPELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4940 EASTERN AVE, BUILDING A ROOM 593, BALTIMORE, MD 21224-2735
(717) 515-3939
Mailing address
4940 EASTERN AVE, BUILDING A ROOM 593, BALTIMORE, MD 21224-2735

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R195993
MD
390200000X
Student in an Organized Health Care Education/Training Program
R195993
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118521700
MD
Enumeration date
02/15/2017
Last updated
05/12/2017
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