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Individual

CHANDLER ROSE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5934 E PORCUPINE AVE UNIT 1, WASILLA, AK 99654-4764
(801) 645-5955
Mailing address
5934 E PORCUPINE AVE UNIT 1, WASILLA, AK 99654-4764
(801) 645-5955

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250295
AK

Other

Enumeration date
03/17/2026
Last updated
03/17/2026
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