Individual
CHARLOTTE LUCY KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-3727
Mailing address
975 SE 11TH AVE APT 514, PORTLAND, OR 97214-2491
(850) 420-9988
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202000807
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61134426
WA
Other
Enumeration date
04/03/2022
Last updated
05/26/2022
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