Healthcare Provider Details

I. General information

NPI: 1043311541
Provider Name (Legal Business Name): YOLANDA CAPRICE CHANDLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BEL AIR SOUTH PKWY STE 1535
BEL AIR MD
21015-3816
US

IV. Provider business mailing address

9105 LINTON ST
SILVER SPRING MD
20901-3745
US

V. Phone/Fax

Practice location:
  • Phone: 410-569-2441
  • Fax: 410-569-2331
Mailing address:
  • Phone: 601-334-6601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR850771
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: