Individual
GREGORY L CHARLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4020
Mailing address
2 TAMAR CT, PUEBLO, CO 81005-3510
(719) 369-7612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0996825-NP
CO
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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