Healthcare Provider Details

I. General information

NPI: 1548327588
Provider Name (Legal Business Name): LOUISE MARIE DAMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOUISE MARIE CHAPDELAINE RN, MSN

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMPHIS PL
SAINT CLOUD FL
34769-2503
US

IV. Provider business mailing address

200 MEMPHIS PL
SAINT CLOUD FL
34769-2503
US

V. Phone/Fax

Practice location:
  • Phone: 407-891-7880
  • Fax:
Mailing address:
  • Phone: 407-891-7880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9181325
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number9181325
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number9181325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: