Basic Information
Provider Information
NPI: 1275955346
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHANDLER
FirstName: ELIZABETH
MiddleName: ROHR
NamePrefix: MRS.
NameSuffix:  
Credential: CRNA, MS, APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1252
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371331252
CountryCode: US
TelephoneNumber: 6153964464
FaxNumber: 6153966748
Practice Location
Address1: 110 29TH AVE N
Address2: SUITE 301
City: NASHVILLE
State: TN
PostalCode: 372031401
CountryCode: US
TelephoneNumber: 6153274304
FaxNumber: 6153277940
Other Information
ProviderEnumerationDate: 01/09/2014
LastUpdateDate: 07/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X18223TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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