Individual
BETHANY CHANCELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1107 14TH AVE SE STE 300, DECATUR, AL 35601-3368
(256) 350-0362
(256) 355-9779
Mailing address
1107 14TH AVE SE STE 300, DECATUR, AL 35601-3368
(256) 350-0362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-134008
AL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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