Provider Demographics
NPI:1891008413
Name:CHUE, CARROL LAVERN (RN)
Entity Type:Individual
Prefix:MS
First Name:CARROL
Middle Name:LAVERN
Last Name:CHUE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 LINCOLN AVE
Mailing Address - Street 2:APT. 141
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-4172
Mailing Address - Country:US
Mailing Address - Phone:347-385-7896
Mailing Address - Fax:
Practice Address - Street 1:735 LINCOLN AVE
Practice Address - Street 2:APT. 141
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-4172
Practice Address - Country:US
Practice Address - Phone:347-385-7896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-24
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268874164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse