Provider Demographics
NPI:1982764270
Name:CHANDLER, EUGENIA LOUISE (RNFA)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:LOUISE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 BLUFF CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-9334
Mailing Address - Country:US
Mailing Address - Phone:209-549-1984
Mailing Address - Fax:
Practice Address - Street 1:4505 BLUFF CREEK DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-9334
Practice Address - Country:US
Practice Address - Phone:209-549-1984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 377731163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant