Individual
ASHA CHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 343-1290
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11014329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112609200
—
FL
Enumeration date
10/06/2021
Last updated
01/12/2022
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