Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 4704299607 | MI |
N | 363LG0600X | Nurse Practitioner - Gerontology | 4704299607 | MI |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704299607 | MI |
NPI | 1083293930 |
---|---|
Provider Name | Catherine M Chapin |
First Address | Saline, MI 48176-1001 |
Second Address | Saline, MI 48176-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 07/04/2021 |