TRAVIS CHANDLER, NP-C, Primary Care BURLEY, ID

Contact Information

TRAVIS CHANDLER, NP-C

1900 CONANT AVE
BURLEY, ID 83318-2333

Phone: 208-670-5922
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Adult Health	363LA2200X	50	Nurse Practitioner
Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for TRAVIS CHANDLER · (Male)

NPI Number	`1861927634`
Status	Active
Credentials	NP-C (Nurse Practitioner - Certified)
Entity	Individual
Enumeration date	04/28/2017
Last updated	04/28/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	ID License # 27663
Hospital affiliation(s)	NORTH CANYON MEDICAL CENTER - (Critical Access) 267 NORTH CANYON DR GOODING, ID 83330 ST LUKES MAGIC VALLEY RMC - (Acute Care) 801 POLE LINE ROAD WEST TWIN FALLS, ID 83301

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TRAVIS CHANDLER, NP-C – NPI #1861927634Primary Care

Contact Information

Specialty

Primary Care

Adult Health

Gerontology

NPI Profile & details for TRAVIS CHANDLER · (Male)

Reviews for TRAVIS CHANDLER

TRAVIS CHANDLER, NP-C – NPI #1861927634
Primary Care