Provider Demographics
NPI:1366784258
Name:CHAPEL-HORST, SUKA J (RN)
Entity type:Individual
Prefix:
First Name:SUKA
Middle Name:J
Last Name:CHAPEL-HORST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 SPARTANBURG HWY
Mailing Address - Street 2:SUITE 70-175
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5910
Mailing Address - Country:US
Mailing Address - Phone:417-380-3254
Mailing Address - Fax:815-550-2468
Practice Address - Street 1:300 RIVERWIND DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-8723
Practice Address - Country:US
Practice Address - Phone:417-380-3254
Practice Address - Fax:815-550-2468
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC142560163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse