Individual
CAROL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1119 HIGHLAND AVE STE 7, CLARKSTON, WA 99403-2836
(509) 758-1119
(509) 751-9406
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57813
ID
363L00000X
Nurse Practitioner
AP60822666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295840270
—
ID
05
—
1295840270
—
WA
Enumeration date
08/20/2006
Last updated
10/16/2025
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