Provider Demographics
NPI:1962561316
Name:CHAPMAN, VIRGINIA MARIE (CNM,ARNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:MARIE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CNM,ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:SANBORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03269-0215
Mailing Address - Country:US
Mailing Address - Phone:603-286-8400
Mailing Address - Fax:
Practice Address - Street 1:30 CANTON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3524
Practice Address - Country:US
Practice Address - Phone:603-624-1638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH031409-23-01363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30340330Medicaid
NHS78889Medicare UPIN
NHNP1766Medicare ID - Type Unspecified