Larry Chandler
Registered Nurse, Community Health in Payette, ID. Individual provider (NPI-1).
NPI number1982180915
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1982180915
- Entity type
- Individual (NPI-1)
- Name
- Larry Chandler
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2018
- Last updated
- Jul 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 089003141RN | OR | Yes |
Practice location
8512 Washoe RdPayette, ID 83661-5424
Phone 208-405-5297
Mailing address
8512 Washoe RdPayette, ID 83661-5424
Phone 208-405-5297
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