Provider Demographics
NPI:1427036649
Name:CHANDLER, SHARON (NP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 BUFFALO ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1111
Mailing Address - Country:US
Mailing Address - Phone:434-392-8177
Mailing Address - Fax:434-392-8272
Practice Address - Street 1:833 BUFFALO ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1111
Practice Address - Country:US
Practice Address - Phone:434-392-8177
Practice Address - Fax:434-392-8272
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001070703363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics