Provider Demographics
NPI:1477369981
Name:PRITZL, CHLOE VIOLET
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:VIOLET
Last Name:PRITZL
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:N13474 N4 ROAD
Mailing Address - Street 2:
Mailing Address - City:CARNEY
Mailing Address - State:MI
Mailing Address - Zip Code:49812
Mailing Address - Country:US
Mailing Address - Phone:906-290-3669
Mailing Address - Fax:
Practice Address - Street 1:N13474 N4 ROAD
Practice Address - Street 2:
Practice Address - City:CARNEY
Practice Address - State:MI
Practice Address - Zip Code:49812
Practice Address - Country:US
Practice Address - Phone:906-290-3669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula