Provider Demographics
NPI:1881975712
Name:LEBRON, CHLOE ALEXANDRA (CNP)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ALEXANDRA
Last Name:LEBRON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:ALEXANDRA
Other - Last Name:KRUEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 10TH ST W
Mailing Address - Street 2:HEALTHEAST HEART CARE
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1062
Mailing Address - Country:US
Mailing Address - Phone:651-326-4327
Mailing Address - Fax:651-471-1110
Practice Address - Street 1:45 10TH ST W
Practice Address - Street 2:HEALTHEAST HEART CARE
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1062
Practice Address - Country:US
Practice Address - Phone:651-326-4327
Practice Address - Fax:651-471-1110
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9185337363L00000X
MNR 141485-7363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner