Individual
MARY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4 HOSPITAL DR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5088
(434) 924-1333
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376591222
—
VA
01
—
P00651749
RR MEDICARE
VA
Enumeration date
05/04/2006
Last updated
02/10/2012
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