Individual
MR. CHARLES UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
252 MILPASS DR, HOLLY SPRINGS, NC 27540-9651
(919) 552-4837
(919) 552-4837
Mailing address
252 MILPASS DR, HOLLY SPRINGS, NC 27540-9651
(919) 552-4837
(919) 552-4837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220129
NC
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
535250
NY
163WC1500X
Community Health Registered Nurse
220129
NC
163WD0400X
Diabetes Educator Registered Nurse
535250
NY
163WG0600X
Gerontology Registered Nurse
220129
NC
163WG0600X
Gerontology Registered Nurse
535250
NY
163WH0200X
Home Health Registered Nurse
220129
NC
163WH0200X
Home Health Registered Nurse
535250
NY
163WM0705X
Medical-Surgical Registered Nurse
220129
NC
163WM0705X
Medical-Surgical Registered Nurse
535250
NY
163WP0000X
Pain Management Registered Nurse
220129
NC
163WP0808X
Psychiatric/Mental Health Registered Nurse
220129
NC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
220129
NC
163WW0000X
Wound Care Registered Nurse
220129
NC
163WW0000X
Wound Care Registered Nurse
535250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02109066
—
NY
Enumeration date
06/09/2009
Last updated
06/09/2009
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