Healthcare Provider Details

I. General information

NPI: 1710610548
Provider Name (Legal Business Name): CHLOE VICTORIA CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 TURNPIKE ST
NORTH ANDOVER MA
01845-6151
US

IV. Provider business mailing address

869 TURNPIKE ST
NORTH ANDOVER MA
01845-6151
US

V. Phone/Fax

Practice location:
  • Phone: 978-234-8911
  • Fax: 978-234-8922
Mailing address:
  • Phone: 978-234-8911
  • Fax: 978-234-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2324680
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: