Chandler Oakley Elliott
Individual provider Active NPI Ambulatory Care Registered Nurse · Crane Hill, AL
NPI 1487477808 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1487477808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 1-180228 (AL)
- Practice address
- 825 County Road 2010
Crane Hill, AL 35053 - Phone
- (256) 522-9886
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-180228 | AL | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 1-180228 | AL | Yes |
Addresses
Primary practice location
825 County Road 2010
Crane Hill, AL 35053
Mailing address
825 County Road 2010
Crane Hill, AL 35053
Phone (256) 522-9886
Other providers in Crane Hill, AL
All providers in Crane Hill, AL · Ambulatory Care Registered Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.