Healthcare Provider Details

I. General information

NPI: 1447085600
Provider Name (Legal Business Name): DAVID BRIAN CHANDLER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 MEDICAL CENTER DR E STE 104
CLOVIS CA
93611-6807
US

IV. Provider business mailing address

2226 E EVERGLADE AVE
FRESNO CA
93720-3946
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-6820
  • Fax: 559-324-6823
Mailing address:
  • Phone: 229-646-7312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number95136813
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: