Provider Demographics
NPI:1568040343
Name:CHAPMAN, RACHELLE RENEE (CNM)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:RENEE
Last Name:CHAPMAN
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 S LINDEN RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3456
Mailing Address - Country:US
Mailing Address - Phone:810-342-1700
Mailing Address - Fax:810-720-4035
Practice Address - Street 1:1314 S LINDEN RD STE A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3456
Practice Address - Country:US
Practice Address - Phone:810-342-1700
Practice Address - Fax:810-720-4035
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704298385367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704298385OtherSTATE OF MICHIGAN LICENSE