CAROL LYNN CHODUN ACNP-BC NPI 1265742704

NPI Information

  • NPI: 1265742704
  • Provider Name: CAROL LYNN CHODUN, ACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24211 LITTLE MACK AVENUE
    EASTLAKE CARDIOVASCULAR
    ST CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 498-0440

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NPI Details

Carol Lynn Chodun, ACNP-BC is an acute care nurse practitioner in St Clair Shores, MI with 16 years of experience. Carol Lynn Chodun, ACNP-BC NPI is 1265742704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24211 LITTLE MACK AVENUE
EASTLAKE CARDIOVASCULAR
ST CLAIR SHORES, MI
ZIP 48080
Phone: (586) 498-0440
Fax: (586) 498-0401

The NPI 1265742704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care4704229927MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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