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NPI Code Detail

MEDICARE: CRISTINA CHANDLER NP

MEDICARE:   CRISTINA  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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.12765OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861774929
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA CHANDLER NP
Provider Business Mailing Address
First Line : 2 MIRANOVA PL FL 5
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5078
Country : US
Telephone Number : 614-268-8164
Fax Number : 614-268-8406
Provider Business Practice Location Address
First Line : 3433 AGLER RD STE 2800
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-645-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 03/22/2023

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Directions to “ CRISTINA CHANDLER NP” Practice Location

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