Healthcare Provider Details
I. General information
NPI: 1679223382
Provider Name (Legal Business Name): CHLOE D'AQUIN SPEARS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/25/2022
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1542 TULANE AVE SUITE 441, BOX T4M-2
NEW ORLEANS LA
70112
US
IV. Provider business mailing address
1542 TULANE AVE SUITE 441, BOX T4M-2
NEW ORLEANS LA
70112
US
V. Phone/Fax
- Phone: 504-568-3792
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 351846 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: