Individual
SANDRA E. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1354 CHAPEL ST, NEW HAVEN, CT 06511-4420
(203) 867-8300
Mailing address
6 PEARL PL, STRATFORD, CT 06614-2035
(203) 543-3743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00000
CT
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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