Individual
CHARMAINE STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, ENP-C
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-5514
(903) 262-3715
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 595-5514
(903) 262-3715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN279115
GA
363L00000X
Nurse Practitioner
Primary
1222553
TX
363L00000X
Nurse Practitioner
Primary
13951-33
WI
363L00000X
Nurse Practitioner
RN279115
GA
Other
Enumeration date
02/12/2021
Last updated
07/29/2026
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