Individual
CHARLOTTE STILES ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22999 HIGHWAY 59 N, KINGWOOD, TX 77339-4412
(281) 348-8956
Mailing address
12218 VALLEY LODGE PKWY, HUMBLE, TX 77346-3666
(281) 898-0486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28376
RX AUTHORITY NUMBER
TX
01
—
A139603
APRN LISCENSE
TX
Enumeration date
11/05/2018
Last updated
11/05/2018
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