NPI | 1003575689 |
---|---|
Professional Name | MIRANDA RENEE CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-184897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1184897) |
Enumeration Date | 2021-12-10 |
Last Update Date | 2025-09-05 |