Individual
CHANDLER MACKENZIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1064 W CEDAR ST, STANDISH, MI 48658-9421
(989) 654-2491
Mailing address
2877 E COGGINS RD, PINCONNING, MI 48650-9750
(810) 347-2782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704339158
MI
Other
Enumeration date
06/05/2024
Last updated
10/01/2024
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