Individual
SARAHLOUISE CHARNESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 DONA MARIE DR, HOWELL, MI 48843-8965
(734) 330-9926
Mailing address
1014 E GRAND RIVER AVE, BRIGHTON, MI 48116-1804
(734) 330-9926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703114315
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704340473
MI
Other
Enumeration date
11/12/2015
Last updated
08/14/2024
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