Individual
CHARLES ELDRIDGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5548 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 322-6622
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021022694
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
218639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281907758
—
AR
05
—
420097472
—
MO
Enumeration date
06/21/2021
Last updated
04/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us