Provider Demographics
NPI:1326229782
Name:CHANDLER, CARRIE ANN (APRN FNP)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ANN
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2443 E BARCELONA DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-1148
Mailing Address - Country:US
Mailing Address - Phone:801-598-7306
Mailing Address - Fax:801-572-2953
Practice Address - Street 1:8706 S 700 E STE 203
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1809
Practice Address - Country:US
Practice Address - Phone:801-572-0043
Practice Address - Fax:866-221-9417
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1968954405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily