Individual
TERESSA D CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7445
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57-75326-122
KS
363LF0000X
Family Nurse Practitioner
Primary
53-75326-122
KS
Other
Enumeration date
10/14/2011
Last updated
05/03/2021
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