Healthcare Provider Details

I. General information

NPI: 1932292810
Provider Name (Legal Business Name): SHARON B CHANDLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VETERANS DRIVE
LEXINGTON KY
40503-0000
US

IV. Provider business mailing address

1101 VETERANS DRIVE
LEXINGTON KY
40503-0000
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-4511
  • Fax: 859-281-4852
Mailing address:
  • Phone: 859-233-4511
  • Fax: 859-281-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3811P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: