Healthcare Provider Details

I. General information

NPI: 1285303974
Provider Name (Legal Business Name): CHLOE LAWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14712 VICTOR HUGO BLVD N
HUGO MN
55038-6419
US

IV. Provider business mailing address

14712 VICTOR HUGO BLVD N
HUGO MN
55038-6419
US

V. Phone/Fax

Practice location:
  • Phone: 651-466-1900
  • Fax:
Mailing address:
  • Phone: 651-466-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11719
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: