Individual
MARY CHAPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704119734
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81290
MEDIARE PROVIDER #
—
Enumeration date
10/25/2006
Last updated
11/19/2009
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