Provider Demographics
NPI:1851013965
Name:ECKERT, CHLOE MARLENE (RN)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:MARLENE
Last Name:ECKERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:MARLENE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:208 W ARLEE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-2711
Mailing Address - Country:US
Mailing Address - Phone:636-734-5346
Mailing Address - Fax:
Practice Address - Street 1:4251 FOREST PARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2810
Practice Address - Country:US
Practice Address - Phone:314-531-7526
Practice Address - Fax:618-202-4807
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020005006163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse