Provider Demographics
NPI:1144540683
Name:CHANDLER, CYNTHIA ANN (APRN-C-FNP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:APRN-C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29831
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2050
Mailing Address - Country:US
Mailing Address - Phone:501-412-0326
Mailing Address - Fax:501-575-0229
Practice Address - Street 1:33 MESERO WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-6007
Practice Address - Country:US
Practice Address - Phone:501-412-0326
Practice Address - Fax:501-575-0229
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA003387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR188551758Medicaid
ARA003387OtherSTATE NURSE PRACTITIONER LICENSE
ARP00944276Medicare PIN
AR57297Medicare PIN