Individual
MR. CHARLES RICHARD CARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
510 STONER AVE, SHREVEPORT, LA 71101-4123
(318) 221-8411
(318) 429-5710
Mailing address
9075 SUMMER TREE CIR, GREENWOOD, LA 71033-3051
(318) 938-6743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-099327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-099327
IOWA BD OF NURSING
IA
Enumeration date
06/23/2005
Last updated
07/08/2007
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