Larry Chandler
Individual provider Active NPI Community Health Registered Nurse · Payette, ID
NPI 1982180915 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1982180915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 089003141RN (OR)
- Practice address
- 8512 Washoe Rd
Payette, ID 83661-5424 - Phone
- (208) 405-5297
- NPI assigned
- Jul 12, 2018
- Sex
- Male
- 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 |
|---|---|---|---|
| 089003141RN | OR | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 089003141RN | OR | Yes |
Addresses
Primary practice location
8512 Washoe Rd
Payette, ID 83661-5424
Mailing address
8512 Washoe Rd
Payette, ID 83661-5424
Phone (208) 405-5297
Other providers in Payette, ID
- Brooke Elizabeth Brown
- Steven Allen Brown
- Joann E Buhr Cote
- Ronald Eugene Carroll
- Sonia Cervantes
- Copacetic Supported Living
- County of Payette School District 371 J
- Teresa Crossley
- Diamond Cruz
- Dan C Thieme OD PC
All providers in Payette, ID · Community Health Registered Nurse in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. 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.