Provider Demographics
NPI:1154514750
Name:CHAPMAN, SHANDRA BREWER (RN)
Entity type:Individual
Prefix:MS
First Name:SHANDRA
Middle Name:BREWER
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHANDRA
Other - Middle Name:SUE
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:842 N MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-5729
Mailing Address - Country:US
Mailing Address - Phone:325-672-6135
Mailing Address - Fax:325-672-6176
Practice Address - Street 1:842 N MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-5729
Practice Address - Country:US
Practice Address - Phone:325-672-6135
Practice Address - Fax:325-672-6176
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX653126171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator