Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.12826-NP | OH |
N | 363LP0200X | Nurse Practitioner - Pediatrics | COA.12826-NP | OH |
NPI | 1013285907 |
---|---|
Provider Name | Katharine Rice Chapman |
First Address | Medina, OH 44256-9311 |
Second Address | Medina, OH 44256-9311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2011 |
Last Update Date | 06/12/2011 |