Organization
CARRIE A CHANDLER APRN PLLC
Active
Other names
Carrie A Chandler APRN PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY MILLER (BILLING)
(801) 572-0443
Entity
Organization
Contact information
Practice address
8706 S 700 E STE 203, SANDY, UT 84070-1809
(801) 572-0443
Mailing address
8706 S 700 E STE 203, SANDY, UT 84070-1809
(801) 572-0443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196895-4405
STATE LICENSE NUMBER
UT
Enumeration date
01/04/2023
Last updated
01/23/2023
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