Individual
CHANDA MCELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 PINEBROOK DR, KINGSPORT, TN 37660-4365
(423) 579-0101
(423) 579-0101
Mailing address
1700 PINEBROOK DR STE 100, KINGSPORT, TN 37660-4365
(423) 579-0101
(423) 579-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001187691
VA
363LF0000X
Family Nurse Practitioner
0001187691
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001187691
LICENSE NUMBER
VA
Enumeration date
08/20/2006
Last updated
01/16/2020
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