CAROL LYNN CHODUN (NPI# 1265742704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265742704 |
Entity Type | Individual |
Full Name | CAROL LYNN CHODUN |
Credential | ACNP-BC |
Practice Address |
24211 Little Mack Avenue Eastlake Cardiovascular St Clair Shores MI 48080 |
Mailing Address |
24211 Little Mack Ave Eastlake Cardiovascular St Clair Shores MI 48080 |
Practice Telephone | 5864980440 |
Practice Fax Number | 5864980401 |
Mailing Telephone | 5864980440 |
Mailing Fax Number | 5864980401 |
Enumeration Date | 2010-10-18 |
Last Update Date | 2011-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704229927 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
24211 LITTLE MACK AVENUE EASTLAKE CARDIOVASCULAR |
City | ST CLAIR SHORES |
State | MI |
Zip Code | 48080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
Find all providers in zip 48080 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
Find all providers with the same taxonomy |
City | ST CLAIR SHORES |
Zip Code | 48080 |
Please comment or provide details below to improve the information on CAROL LYNN CHODUN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.