Individual
ELIZABETH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
30 S BEHL ST, APPLETON, MN 56208-1616
(320) 289-2422
Mailing address
30 S BEHL ST, APPLETON, MN 56208-1616
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
366
MN
363LF0000X
Family Nurse Practitioner
Primary
7204
MN
Other
Enumeration date
06/15/2018
Last updated
11/08/2023
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