Provider Demographics
NPI:1033980891
Name:URLACHER, CHANDRA JO (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:JO
Last Name:URLACHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:JO
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10425 47TH ST SW
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-9536
Mailing Address - Country:US
Mailing Address - Phone:701-590-1779
Mailing Address - Fax:
Practice Address - Street 1:10425 47TH ST SW
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-9536
Practice Address - Country:US
Practice Address - Phone:701-590-1778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR31899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily