Individual
CHARLOTTE MACI CARD
Active
Individual
CHARLOTTE MACI CARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
900829
MS
363LW0102X
Women's Health Nurse Practitioner
Primary
905866
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104599566
WOMEN'S HEALTH NURSE PRACTITIONER
MS
01
—
905866
NURSE PRACTITIONER
MS
Enumeration date
02/12/2021
Last updated
03/10/2023
Update your record
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