MEDICARE: ELIZABETH M CHANDLER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R181559	MD

General Provider Information

NPI Number	:	1144477472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH M CHANDLER NP

Provider Business Mailing Address
First Line	:	9103 FRANKLIN SQUARE DR STE 302
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-3939
Country	:	US
Telephone Number	:	443-777-7320
Fax Number	:	443-777-8320

Provider Business Practice Location Address
First Line	:	9103 FRANKLIN SQUARE DR STE 302
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-3939
Country	:	US
Telephone Number	:	443-777-7320
Fax Number	:	443-777-7320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	06/17/2025

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