| Carrie A Chandler Aprn Pllc | |
|
8706 S 700 E Ste 203 Sandy UT 84070-1809 | |
| (801) 572-0443 | |
| Not Available |
| Full Name | Carrie A Chandler Aprn Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8706 S 700 E Ste 203, Sandy, Utah |
| Authorized Official Name and Position | Whitney Miller (BILLING) |
| Authorized Official Contact | 8015720443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie A Chandler Aprn Pllc 8706 S 700 E Ste 203 Sandy UT 84070-1809 Ph: (801) 572-0443 | Carrie A Chandler Aprn Pllc 8706 S 700 E Ste 203 Sandy UT 84070-1809 Ph: (801) 572-0443 |
| NPI Number | 1598478513 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 5092187815 |
|---|---|
| Medicare Enrollment ID | O20230203001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598478513 | NPI | - | NPPES |
| 196895-4405 | Other | UT | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Carrie A Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326229782 PECOS PAC ID: 4284798513 Enrollment ID: I20090130000337 |
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