Individual
CHARLOTTE SUZANNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ACNP-BC
Contact information
Practice address
200 COUNTY ROAD 340A, BLDG. 1, STE. B, BURNET, TX 78611-4537
(512) 715-3032
(512) 715-3029
Mailing address
200 COUNTY ROAD 340A, BLDG 1 SUITE B, BURNET, TX 78611-4537
(512) 715-3032
(512) 715-3029
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
606313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194024905
—
TX
05
—
194024907
—
TX
05
—
194024908
—
TX
01
—
8100NM
BCBS
TX
Enumeration date
10/10/2007
Last updated
05/05/2016
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