Debardeleben, Chandler Mardis

Debardeleben, Chandler Mardis is an individual health care provider with primary practice located at 62 Columbia St , Orlando FL 32806-1115. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Debardeleben, Chandler Mardis can be contacted via phone (321) 214-4903.

Contact Information

Primary practice address
62 Columbia St Orlando FL 32806-1115
Phone: (321) 214-4903
Fax: (321) 841-2196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN9467216 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11026371 Florida

Profile Details

NPI number 1568041481
LBN Legal business name Debardeleben, Chandler Mardis
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Jun 22nd, 2023 - about last year

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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