Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP010040 | PA |
NPI | 1346495504 |
---|---|
Provider Name | Mrs. Lottie Theresa Chapman |
First Address | Haddon Township, NJ 08108-1708 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 19/07/2011 |