Individual
HEATHER CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
312 E 47TH ST, #11, GARDEN CITY, ID 83714-4727
(208) 703-6452
Mailing address
312 E 47TH ST, #11, GARDEN CITY, ID 83714-4727
(208) 703-6452
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
ID000012781202
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ID000012781202
IDAHO DEPARTMENT OF PUBLIC HEALTH & WEFARE
ID
Enumeration date
09/24/2015
Last updated
09/24/2015
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