Doctor Name: | MRS. MEGAN SHERREE CHANDLER |
NPI Number: | 1245583103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN FNP-C |
License Number: | 729139 |
Business Practice Address: | 2301 S Gregg St Big Spring, TX - 797205531 |
Business Phone Number: | 4322675531 |
Business Fax Number: | 4322681010 |
Mailing Address: | 2301 S Gregg St, BIG SPRING |
State: | TX |
Postal Code: | 797205531 |
Phone Number: | 4322675531 |
Fax Number: | 4322681010 |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 729139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |