Individual
NYLA S CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1006 W MAIN ST, BOZEMAN, MT 59715-3219
(406) 414-4800
Mailing address
1006 W MAIN ST, BOZEMAN, MT 59715-3219
(406) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100182
MT
363LF0000X
Family Nurse Practitioner
Primary
100182
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000037381
BCBS
MT
05
—
0435045
—
MT
Enumeration date
03/15/2006
Last updated
07/26/2021
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