Provider Demographics
NPI:1720144793
Name:CHANDLER, SARAH BETH (DNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 E FRANKLIN RD STE 140
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2914
Mailing Address - Country:US
Mailing Address - Phone:208-992-2672
Mailing Address - Fax:208-992-2673
Practice Address - Street 1:932 W IDAHO AVE STE 100
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2155
Practice Address - Country:US
Practice Address - Phone:541-889-2244
Practice Address - Fax:541-889-2626
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID71650363LG0600X
ID45817163W00000X
FL9220812163WC0200X
OR10000570363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine