Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 00795 | NC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 37520 | AZ |
NPI | 1073579447 |
---|---|
Provider Name | Dr. Karen Maureen Chandler |
First Address | Tucson, AZ 85751-1235 |
Second Address | Tucson, AZ 85712-2805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259310 | (05) | AZ |
F65822 | (02) | NC |