Provider Demographics
NPI:1376042150
Name:CHOU, MICHELLE L (RN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:CHOU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 PROFESSIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8000
Mailing Address - Country:US
Mailing Address - Phone:812-401-7577
Mailing Address - Fax:812-401-5342
Practice Address - Street 1:1110 PROFESSIONAL BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-8000
Practice Address - Country:US
Practice Address - Phone:812-401-7577
Practice Address - Fax:812-401-5342
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28187405A163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical