Provider Demographics
NPI:1881951648
Name:CHANDLER, SARA ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 959203 ST LOUIS MO 63195
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-0001
Mailing Address - Country:US
Mailing Address - Phone:618-470-6020
Mailing Address - Fax:618-470-6021
Practice Address - Street 1:1000 ELEVEN S STE 1A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-1078
Practice Address - Country:US
Practice Address - Phone:618-463-8500
Practice Address - Fax:618-470-6021
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2024-09-27
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Provider Licenses
StateLicense IDTaxonomies
IL209.009481363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner