Healthcare Provider Details

I. General information

NPI: 1114951571
Provider Name (Legal Business Name): NANCY DEIHL CHANDLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

PO BOX 1548
MANDEVILLE LA
70470-1548
US

V. Phone/Fax

Practice location:
  • Phone: 402-430-8606
  • Fax:
Mailing address:
  • Phone: 985-966-4562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD2020-1190
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number22397
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number17816
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: