Provider Demographics
NPI:1720144793
Name:CHANDLER, SARAH BETH (DNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:660 E FRANKLIN RD STE 140
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2914
Mailing Address - Country:US
Mailing Address - Phone:208-992-2672
Mailing Address - Fax:208-992-2673
Practice Address - Street 1:808 N WHITLEY DR
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-2437
Practice Address - Country:US
Practice Address - Phone:208-452-2672
Practice Address - Fax:208-452-2673
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID45817163W00000X
FL9220812163WC0200X
OR10000570363LG0600X
ID71650363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine