Provider Demographics
NPI:1740171768
Name:SHRIVER, CHLOE NICOLE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:NICOLE
Last Name:SHRIVER
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 1:7816 VALENCIA CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-6523
Mailing Address - Country:US
Mailing Address - Phone:225-408-9123
Mailing Address - Fax:
Practice Address - Street 1:1410 NEEL KEARBY BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-5690
Practice Address - Country:US
Practice Address - Phone:318-484-2184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program