Provider Demographics
NPI:1063711414
Name:CHAPMAN, DONNA MARIE (ACNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 MAIN ST
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1612
Mailing Address - Country:US
Mailing Address - Phone:781-337-6500
Mailing Address - Fax:781-331-1148
Practice Address - Street 1:851 MAIN ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1612
Practice Address - Country:US
Practice Address - Phone:781-337-6500
Practice Address - Fax:781-331-1148
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN273549363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner