Provider Demographics
NPI:1992193064
Name:CHANDLER, RACHEL LYNN (MPAS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5156 NC HIGHWAY 42 W
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-8417
Mailing Address - Country:US
Mailing Address - Phone:919-329-5000
Mailing Address - Fax:
Practice Address - Street 1:5156 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8417
Practice Address - Country:US
Practice Address - Phone:919-329-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant