Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0996726-NP | CO |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN.0996726-NP | CO |
NPI | 1447835608 |
---|---|
Provider Name | Rebeka Chandler |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2021 |
Last Update Date | 03/12/2021 |