Healthcare Provider Details

I. General information

NPI: 1245956770
Provider Name (Legal Business Name): CHLOE ALEENA WRIGHT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 HARCOURT RD STE 200
INDIANAPOLIS IN
46260-2082
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-6600
  • Fax: 317-415-6649
Mailing address:
  • Phone: 239-432-8331
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71013069A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: