Individual
TAYLOR CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
846 CUPOLA DR, RALEIGH, NC 27603-3444
(412) 596-0853
Mailing address
846 CUPOLA DR, RALEIGH, NC 27603-3444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91668
NC
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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