Provider Demographics
NPI:1588427363
Name:CHAPPELL, CHERELL ANGELA (APRN, CNM)
Entity type:Individual
Prefix:
First Name:CHERELL
Middle Name:ANGELA
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N BERMUDA ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76705-1323
Mailing Address - Country:US
Mailing Address - Phone:254-214-1014
Mailing Address - Fax:
Practice Address - Street 1:405 LONDONDERRY DR STE 204
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7921
Practice Address - Country:US
Practice Address - Phone:254-313-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140711367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife