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NPI Code Detail

MEDICARE: MRS. ADRIENNE LYNNE CHAMBERS MSN, RN, CNS, CPNP

MEDICARE: MRS. ADRIENNE LYNNE CHAMBERS MSN, RN, CNS, CPNP
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
1363LP0200XPediatric Nurse Practitioner71000218AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1251K00000XOTHERPUBLIC HEALTH

General Provider Information

NPI Number : 1740449701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIENNE LYNNE CHAMBERS MSN, RN, CNS, CPNP
Provider Business Mailing Address
First Line : 7682 W COUNTY ROAD 550 N
Second Line :
City : SAINT PAUL
State : IN
Zip : 47272-9710
Country : US
Telephone Number : 765-525-9337
Fax Number :
Provider Business Practice Location Address
First Line : 2868 N PENNSYLVANIA ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-4125
Country : US
Telephone Number : 317-221-3518
Fax Number : 317-221-8959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 06/05/2008

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