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Individual

MS. BEVERLY H CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
621 W BALDWIN RD STE A, STE 102, PANAMA CITY, FL 32405-3364
(850) 747-3661
Mailing address
621 W BALDWIN RD, PANAMA CITY, FL 32405
(850) 747-3661
(850) 747-0194

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3115452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11576
BCBS
FL
05
306190600
FL
Enumeration date
02/27/2007
Last updated
06/27/2022
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