Active NPIIndividual providerSole proprietor

Shelly Chandler, NP

Nurse Practitioner, Family in Milford, Connecticut

NPI Number1629055736
Practice location
199 Cherry St, Milford, CT 06460-3501
Fax
203-874-2544
Last updated
January 27, 2022

Shelly Chandler is a Nurse Practitioner, Family based in Milford, CT. Shelly Chandler practices in Milford, CT and has the professional credentials of NP. The NPI Number for Shelly Chandler is 1629055736 and holds a License No. 254081 (MA). The current practice location address for Shelly Chandler is 199 Cherry St, Milford, CT 06460-3501 and can be reached out via phone at 203-874-2543 and via fax at 203-874-2544.

Provider Profile Details

NPI Number
1629055736
Provider Name
Shelly Chandler
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
199 Cherry St, Milford, CT 06460-3501
Phone Number
203-874-2543
Fax Number
203-874-2544
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2005
Last Update Date
January 27, 2022
Certification Date
January 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Cherry St
Milford, CT 06460-3501
Zip
06460-3501
Phone Number
203-874-2543
Fax Number
203-874-2544
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number (1)
254081
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
3007254
License State (2)
KY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
2012029067
License State (3)
MO
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
12.007315
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelly Chandler, NP?

The NPI number of Shelly Chandler, NP is 1629055736. It was assigned on December 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Shelly Chandler, NP?

Shelly Chandler, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 254081.

Where does Shelly Chandler, NP practice?

The practice location is 199 Cherry St, Milford, CT 06460-3501. The office can be reached at 203-874-2543 (phone) or 203-874-2544 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629055736 directly on the NPPES registry website.

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