Provider Demographics
NPI:1609523265
Name:ZUNDEL, CHANDRA SMITH
Entity Type:Individual
Prefix:PROF
First Name:CHANDRA
Middle Name:SMITH
Last Name:ZUNDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1058 DALY RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4711
Mailing Address - Country:US
Mailing Address - Phone:801-913-8325
Mailing Address - Fax:
Practice Address - Street 1:1058 DALY RD
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4711
Practice Address - Country:US
Practice Address - Phone:801-913-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula