Clark, Chandler

Clark, Chandler is an individual health care provider with primary practice located at 24440 Stone Springs Blvd , Dulles VA 20166-2247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Clark, Chandler can be contacted via phone (571) 349-4000.

Contact Information

Primary practice address
24440 Stone Springs Blvd Dulles VA 20166-2247
Phone: (571) 349-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024185283 Virginia

Profile Details

NPI number 1114632130
LBN Legal business name Clark, Chandler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2023
Last updated Mar 21st, 2023 - about 3 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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