Organization
CHRYSALIS WELLNESS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA LYNN WHITE APRN, CNP (OWNER)
(218) 969-0386
Entity
Organization
Contact information
Practice address
302 CHESTNUT ST STE 408, VIRGINIA, MN 55792-5610
(218) 969-7824
Mailing address
14 PRESIDENT AVE # 701, BUHL, MN 55713-4451
(218) 969-0386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/22/2023
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