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Individual
MRS. MARIE FAYETTE CHARLES
Active
Individual
MRS. MARIE FAYETTE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FNP-PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024180406
VA
363LF0000X
Family Nurse Practitioner
R221196
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024180406
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R221196
MD
Other
Enumeration date
03/29/2018
Last updated
01/10/2022
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