Individual
MS. ADELAIDE J CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R 088629-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901721600
—
MN
Enumeration date
12/29/2005
Last updated
12/04/2014
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