Individual
CHARLES JOSEPH MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5015197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015197
NP
NC
Enumeration date
11/05/2021
Last updated
11/04/2024
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