Provider Demographics
NPI:1952667511
Name:CHALVERUS, CAROLINE ASHLEY (PHARMD, DAME DOULA)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ASHLEY
Last Name:CHALVERUS
Suffix:
Gender:F
Credentials:PHARMD, DAME DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PUEBLO DEL SOL
Mailing Address - Street 2:YOUR BIRTH LLC
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-9706
Mailing Address - Country:US
Mailing Address - Phone:702-588-3804
Mailing Address - Fax:
Practice Address - Street 1:6 PUEBLO DEL SOL
Practice Address - Street 2:6 PUEBLO DEL SOL
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-9706
Practice Address - Country:US
Practice Address - Phone:702-588-3804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4739065-1701183500000X
AK1569183500000X
NV16443183500000X
NMNA DAME CERTIFIED374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No183500000XPharmacy Service ProvidersPharmacist