Most Relevant Information
Provider Data
| NPI Number: | 1003575689 |
| Provider Name: | MIRANDA CHANDLER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1184897 |
Most Important Dates
| Enumeration Date: | 12/10/2021 |
| Last Updated: | 12/10/2021 |
Provider Practice Location
824 WESTERN AMERICA DR
MOBILE
AL
366094100
Practice Location Phone/Fax
| Phone: | 2513160917 |
| Fax: |
Provider Mailing Location
13280 COPELAND ISLAND DR S
MOBILE
AL
366956614
Provider Mailing Phone/Fax
| Phone: | 2513661849 |
| Fax: |