Individual
CHARLENE G. EXLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
LEE STREET GROUND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2203
(434) 924-9656
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165701
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010037867
—
VA
Enumeration date
01/24/2007
Last updated
06/23/2010
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