Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5005203 | NC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5005203 | NC |
NPI | 1588951644 |
---|---|
Provider Name | Pamela A Chandler |
First Address | Charlotte, NC 28260-3443 |
Second Address | Asheville, NC 28801-4513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 15/09/2016 |