Individual
CHANE CHALOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
828 CENTRAL AVE, GREENVILLE, OH 45331-1206
(937) 569-6996
(937) 547-5789
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-3806
(937) 548-2087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023169
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.023169
FAMILY NURSE PRACTITIONER
OH
Enumeration date
08/13/2018
Last updated
10/27/2020
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