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Individual
MELANIE STEPHENS CHANDLER
Active
Individual
MELANIE STEPHENS CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN710677
PA
363L00000X
Nurse Practitioner
Primary
SP021558
PA
363LG0600X
Gerontology Nurse Practitioner
SP021558
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14646391
CAQH
—
Enumeration date
01/13/2020
Last updated
04/13/2026
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