Provider Demographics
NPI:1154901635
Name:DE CRECY, CHLOE ANNE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ANNE
Last Name:DE CRECY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 21ST AVE S APT 204
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4321
Mailing Address - Country:US
Mailing Address - Phone:352-281-1900
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LN POD C
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204
Practice Address - Country:US
Practice Address - Phone:615-936-1212
Practice Address - Fax:615-936-9431
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program