Basic Information
Provider Information
NPI: 1366709743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPMAN
FirstName: WILL
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 191 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014109
CountryCode: US
TelephoneNumber: 8282743477
FaxNumber: 8282747407
Practice Location
Address1: 191 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014109
CountryCode: US
TelephoneNumber: 8282540881
FaxNumber: 8282747407
Other Information
ProviderEnumerationDate: 04/23/2012
LastUpdateDate: 09/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X105563SCN Nursing Service ProvidersRegistered Nurse 
163W00000X253438NCN Nursing Service ProvidersRegistered Nurse 
367500000X089882SCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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