Provider Demographics
NPI:1265499131
Name:CHANDLER, ERMINE FAYE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ERMINE
Middle Name:FAYE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8124 BURTHE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1112
Mailing Address - Country:US
Mailing Address - Phone:504-865-1290
Mailing Address - Fax:
Practice Address - Street 1:8124 BURTHE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1112
Practice Address - Country:US
Practice Address - Phone:985-878-9421
Practice Address - Fax:985-878-1431
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN067959 AP04761367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00391827OtherRAILROAD MEDICARE
AL009942872Medicaid
LA1004707Medicaid
LA3A214CQ68Medicare PIN