Provider Demographics
NPI:1144950551
Name:CARPENTER, CHLOE ELISHA
Entity type:Individual
Prefix:MS
First Name:CHLOE
Middle Name:ELISHA
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 E REAGAN PKWY APT 58
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1229
Mailing Address - Country:US
Mailing Address - Phone:330-635-8074
Mailing Address - Fax:
Practice Address - Street 1:581 E REAGAN PKWY APT 58
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1229
Practice Address - Country:US
Practice Address - Phone:330-635-8074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker