Chandler, Shelly

Chandler, Shelly is an sole proprietor health care provider with primary practice located at 199 Cherry St , Milford CT 06460-3501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chandler, Shelly can be contacted via phone (203) 874-2543.

Contact Information

Primary practice address
199 Cherry St Milford CT 06460-3501
Phone: (203) 874-2543
Fax: (203) 874-2544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 254081 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007254 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2012029067 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12.007315 Connecticut

Profile Details

NPI number 1629055736
LBN Legal business name Chandler, Shelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jan 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629055736 NPPES
Massachusetts Other NP4179 BLUE CROSS BLUE SHIELD

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