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General NPI Number Information
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NPI Number | 1932532009
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Entity Type | Individual
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Provider Name | CHANDRA A NORDER-BRANDLI APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 698 FEATHERSTONE RD STE 150
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City | ROCKFORD
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State | IL
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Zip | 61107-6303
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Country | US
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Telephone | 815-387-1717
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Fax | 815-387-1718
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Provider Business Mailing Address
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Address Line | 7093 POLO PL
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City | LOVES PARK
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State | IL
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Zip | 61111-5371
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Country | US
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Telephone | 815-988-2350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209010600
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.010600
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 6737-33
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License Number State | WI
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