Provider Demographics
NPI:1821120098
Name:CHIONG, MARIE LOU (RN BSN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:LOU
Last Name:CHIONG
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2871 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-8612
Mailing Address - Country:US
Mailing Address - Phone:970-875-4050
Mailing Address - Fax:
Practice Address - Street 1:4065 ST CLOUD DR UNIT 200
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9233
Practice Address - Country:US
Practice Address - Phone:970-346-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0170769163W00000X, 163WH0200X
CO170769163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator