Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 9321594 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN9321594 | FL |
NPI | 1013408657 |
---|---|
Provider Name | Courtney Chappel |
First Address | Orlando, FL 32804-4675 |
Second Address | Orlando, FL 32803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2018 |
Last Update Date | 25/07/2019 |