Individual provider · Type 1 NPI
Travis Chandler, NP-C
Primary Care Nurse Practitioner · Burley, ID
NPI number
1861927634
Active
Practice location
1900 Conant Ave
Burley, ID 83318-2333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 27663 (ID) |
| Gerontology Nurse Practitioner | 363LG0600X | 27663 (ID) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 27663 (ID) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1861927634
Travis Chandler, NP-C's National Provider Identifier is 1861927634, issued on Apr 28, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Burley, ID. The record was last updated on Apr 28, 2017.