Provider Demographics
NPI:1306267141
Name:CHAPMAN, SUSAN 'CHRISTY' CHRISTINE (RN, BSN)
Entity type:Individual
Prefix:
First Name:SUSAN 'CHRISTY'
Middle Name:CHRISTINE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:1600 E MADRID AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-2050
Mailing Address - Country:US
Mailing Address - Phone:575-527-9546
Mailing Address - Fax:575-527-9553
Practice Address - Street 1:1600 E MADRID AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-2050
Practice Address - Country:US
Practice Address - Phone:575-527-9546
Practice Address - Fax:575-527-9553
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM321102163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool