Provider Demographics
NPI:1649456674
Name:CHANDLER, TONIA DENICE (DNP, CPNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TONIA
Middle Name:DENICE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:DNP, CPNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14175 W INDIAN SCHOOL RD
Mailing Address - Street 2:STE B4--486
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-8407
Mailing Address - Country:US
Mailing Address - Phone:928-274-8999
Mailing Address - Fax:
Practice Address - Street 1:14175 WEST INDIAN SCHOOL ROAD
Practice Address - Street 2:STE B4--486
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395
Practice Address - Country:US
Practice Address - Phone:928-274-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4520363LF0000X
AZ3562363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily