Provider Demographics
NPI:1841648599
Name:CHALOUX, CHRISTINE (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CHALOUX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:LAVERDIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1423 38TH ST W UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7524
Mailing Address - Country:US
Mailing Address - Phone:406-430-2035
Mailing Address - Fax:
Practice Address - Street 1:1423 38TH ST W UNIT 3
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7524
Practice Address - Country:US
Practice Address - Phone:406-430-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN49791363LF0000X
MTNUR-APN-LIC-130754363LG0600X
MTNUR-APRN-LIC-130754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology