Individual
ELIZABETH ANN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7001 ROGERS AVE FL 6, FORT SMITH, AR 72903-4073
(479) 573-3101
(479) 573-3102
Mailing address
7001 ROGERS AVE FL 6, FORT SMITH, AR 72903-4073
(479) 573-3101
(479) 573-3102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
122106
AR
Other
Enumeration date
10/25/2019
Last updated
04/06/2020
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