MEDICARE: CHLOE CLAUSER CPM, LM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	LMW-0118	SC

General Provider Information

NPI Number	:	1134900095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE CLAUSER CPM, LM

Provider Business Mailing Address
First Line	:	4661 FARM LAKE DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3471
Country	:	US
Telephone Number	:	843-742-3809
Fax Number	:

Provider Business Practice Location Address
First Line	:	4661 FARM LAKE DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3471
Country	:	US
Telephone Number	:	843-742-3809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	10/06/2023

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Directions to “ CHLOE CLAUSER CPM, LM” Practice Location

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