Individual
CHANDLER DYAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
802 MEDICAL DR STE 100, LONGVIEW, TX 75605-5207
(903) 757-6042
(903) 232-6261
Mailing address
PO BOX 29343, BELFAST, ME 04915-2045
(903) 232-8290
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
900527
TX
363L00000X
Nurse Practitioner
1054521
TX
363LF0000X
Family Nurse Practitioner
Primary
1054521
TX
Other
Enumeration date
08/13/2021
Last updated
02/18/2025
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