Individual
ANTOINETTE NINA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 SAINT JOHNS PL APT 4A, BROOKLYN, NY 11213-6705
(917) 749-4314
Mailing address
1324 SAINT JOHNS PL APT 4A, BROOKLYN, NY 11213-6705
(917) 749-4314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
677481
NY
163WA2000X
Administrator Registered Nurse
677481
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
677481
NY
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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