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 |