MEDICARE: MRS. CYNTHIA ANN CHANDLER APRN-C-FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A003387	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A003387	OTHER	AR	STATE NURSE PRACTITIONER LICENSE

General Provider Information

NPI Number	:	1144540683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA ANN CHANDLER APRN-C-FNP

Provider Business Mailing Address
First Line	:	PO BOX 29831
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2050
Country	:	US
Telephone Number	:	501-412-0326
Fax Number	:	501-575-0229

Provider Business Practice Location Address
First Line	:	33 MESERO WAY
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-6007
Country	:	US
Telephone Number	:	501-412-0326
Fax Number	:	501-575-0229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	12/31/2021

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