Doctor Name: | INA J CHANDLER |
NPI Number: | 1053681619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3007221 |
Business Practice Address: | 1030 E 18th St Owensboro, KY - 423034733 |
Business Phone Number: | 2702405005 |
Business Fax Number: | 2702405007 |
Mailing Address: | 1030 E 18th St, OWENSBORO |
State: | KY |
Postal Code: | 423034733 |
Phone Number: | 2702405005 |
Fax Number: | 2702405007 |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3007221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |