Individual
CHANDA NICOLE GUPTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
332 N TRADE ST, STE 1500, MATTHEWS, NC 28105-1728
(704) 512-6820
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16737
WI
363L00000X
Nurse Practitioner
209-031918
IL
363L00000X
Nurse Practitioner
Primary
5004033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325202
—
WI
Enumeration date
09/17/2008
Last updated
11/06/2025
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