Individual
CHARLETTE N KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2865 LYNNHAVEN DR STE A4, VIRGINIA BEACH, VA 23451-1542
(757) 496-5000
(757) 496-5000
Mailing address
2865 MARINA SHORES DR, SUITE 4A, VIRGINIA BEACH, VA 23451
(757) 496-5000
(757) 496-5000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024165405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017137699
LICENSE
VA
Enumeration date
02/10/2015
Last updated
03/05/2020
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