Basic Information
Provider Information
NPI: 1184285108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHANDLER
FirstName: BRITTANY
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7507 WASHINGTON ARCH DR
Address2:  
City: MECHANICSVILLE
State: VA
PostalCode: 231114724
CountryCode: US
TelephoneNumber: 6108004466
FaxNumber:  
Practice Location
Address1: 2006 BREMO RD STE 101
Address2:  
City: RICHMOND
State: VA
PostalCode: 232262438
CountryCode: US
TelephoneNumber: 8042881881
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2019
LastUpdateDate: 05/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X0001254242VAN Nursing Service ProvidersRegistered Nurse 
363LP0808X0024177749VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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