| NPI | 1952747743 |
|---|---|
| Former Name | SHAUNA LYNN CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.15053-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 374715) |
| 163W00000X Registered Nurse (Licence: NY 593443) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-09-18 |