Provider Demographics
NPI:1750632998
Name:KEELE, CHANDRA LYNN (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHANDRA
Middle Name:LYNN
Last Name:KEELE
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 GREATHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3133
Mailing Address - Country:US
Mailing Address - Phone:432-853-1118
Mailing Address - Fax:
Practice Address - Street 1:5000 BRIARWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707
Practice Address - Country:US
Practice Address - Phone:432-687-6870
Practice Address - Fax:432-687-5558
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily