Healthcare Provider Details

I. General information

NPI: 1942170410
Provider Name (Legal Business Name): DEBRA SUE CHANDLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 GILES RD
BELLEVUE NE
68147-1711
US

IV. Provider business mailing address

PO BOX 939
BELLEVUE NE
68005-0939
US

V. Phone/Fax

Practice location:
  • Phone: 402-933-0680
  • Fax:
Mailing address:
  • Phone: 402-933-0680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-306305
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number53575
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: