Individual
MRS. DEVANNE ALESHA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9208 KING PALM DR, TAMPA, FL 33619-1328
(808) 673-3581
Mailing address
9208 KING PALM DR, TAMPA, FL 33619-1328
(813) 828-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041318535
IL
163W00000X
Registered Nurse
72584
HI
363LF0000X
Family Nurse Practitioner
11009284
FL
Other
Enumeration date
09/18/2012
Last updated
07/16/2021
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