Individual
MARY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP
Contact information
Practice address
11 S DIVISION ST STE A, BONNE TERRE, MO 63628-1701
(573) 723-1100
(572) 723-1130
Mailing address
11 S DIVISION ST, STE A, BONNE TERRE, MO 63628-1701
(573) 454-2466
(573) 454-2544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014044175
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019009110
MO
Other
Enumeration date
12/16/2014
Last updated
02/25/2024
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