Individual
MRS. MARY THERESA CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
89 EMERALD ST, GARDNER, MA 01440-2920
(978) 632-4132
Mailing address
PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2294423
MA
Other
Enumeration date
06/18/2020
Last updated
03/31/2021
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