Individual
MAUREEN ANN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
86 MDG, RAMSTEIN AB APO AE, NY 09012
(314) 479-2612
Mailing address
UNIT 3050 BOX 130, APO, AE 09021-3050
(314) 480-4687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
659573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104288777
NATIONAL CERTIFICATION CORPORATION
—
Enumeration date
02/02/2006
Last updated
05/01/2018
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