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NPI Code Detail

MEDICARE: REGINA CHANDLER NP

MEDICARE:   REGINA  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
1363LA2100XAcute Care Nurse PractitionerRN260101MA

General Provider Information

NPI Number : 1639587611
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA CHANDLER NP
Provider Business Mailing Address
First Line : 40 INDUSTRIAL PARK RD STE 203
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4888
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 INDUSTRIAL PARK RD STE 203
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4888
Country : US
Telephone Number : 508-356-6504
Fax Number : 508-790-1897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 03/04/2026

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