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Individual
REBECCA CHANDLER
Active
Individual
REBECCA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP CS
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R033605
ME
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
ASO84132
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431894799
—
ME
Enumeration date
08/25/2006
Last updated
03/07/2023
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