Healthcare Provider Details

I. General information

NPI: 1912549387
Provider Name (Legal Business Name): CHLOE DAVIDSON VILLAVASO MN, APRN, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHLOE CHERI DAVIDSON MN, RN

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE # 8548
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

1430 TULANE AVE # 8548
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5152
  • Fax:
Mailing address:
  • Phone: 504-988-5152
  • Fax: 504-988-4237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number104894-06788
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: