Provider Demographics
NPI:1932532009
Name:NORDER-BRANDLI, CHANDRA A (APRN, CNP)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:A
Last Name:NORDER-BRANDLI
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:A
Other - Last Name:NORDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7093 POLO PL
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-5371
Mailing Address - Country:US
Mailing Address - Phone:815-988-2350
Mailing Address - Fax:
Practice Address - Street 1:698 FEATHERSTONE RD STE 150
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6303
Practice Address - Country:US
Practice Address - Phone:815-387-1717
Practice Address - Fax:815-387-1718
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010600363LG0600X
IL209.010600363L00000X
WI6737-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner