Provider Demographics
NPI:1942916150
Name:CHANEY, EDEN G (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EDEN
Middle Name:G
Last Name:CHANEY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35095 US HIGHWAY 19 N STE 202
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1971
Mailing Address - Country:US
Mailing Address - Phone:727-771-0600
Mailing Address - Fax:
Practice Address - Street 1:35095 US HIGHWAY 19 N STE 202
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1971
Practice Address - Country:US
Practice Address - Phone:727-771-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily