Provider Demographics
NPI:1285084053
Name:CHAPMAN VILTRES, EVERLAINES DE LA CARIDAD (ADNP)
Entity type:Individual
Prefix:
First Name:EVERLAINES
Middle Name:DE LA CARIDAD
Last Name:CHAPMAN VILTRES
Suffix:
Gender:F
Credentials:ADNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 70TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-3809
Mailing Address - Country:US
Mailing Address - Phone:415-504-4241
Mailing Address - Fax:
Practice Address - Street 1:1040 HAVEMEYER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-5382
Practice Address - Country:US
Practice Address - Phone:415-504-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310748363LA2200X
CA95124767163W00000X
FL9470347163W00000X
NY727358163W00000X
NJ26NR21742700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse