Provider Demographics
NPI:1932532009
Name:NORDER-BRANDLI, CHANDRA A (NP)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:A
Last Name:NORDER-BRANDLI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:A
Other - Last Name:NORDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:201 E MORRISSEY DR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121-4395
Mailing Address - Country:US
Mailing Address - Phone:262-723-3100
Mailing Address - Fax:262-723-3438
Practice Address - Street 1:201 E MORRISSEY DR
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-4395
Practice Address - Country:US
Practice Address - Phone:262-723-3100
Practice Address - Fax:262-723-3438
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6737-33363L00000X
IL209.010600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner