Nicole J Charles is a Medical in Minnetonka, Minnesota. Nicole J Charles practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicole J Charles is 1104008093. The last update date is 2021-03-23.
Nicole J Charles's current location address is 4729 County Road 101, Minnetonka, Minnesota. You can contact this provider via phone number 9529743200 and fax number 9529743201. The mailing address for Nicole J Charles is 4729 County Road 101, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole J Charles |
|---|---|
| Address | 4729 County Road 101, Minnetonka, Minnesota |
| Phone Number | 9529743200 |
| Fax Number | 9529743201 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1104008093 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 4729 County Road 101 |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553452634 |
| Phone Number | 9529743200 |
| Fax Number | 9529743201 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1081 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1081 | MN | MN REGISTRATION |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicole J Charles by the Centers for Medicare & Medicaid Services?
The Nicole J Charles has been assigned the NPI (National Provider Identifier) 1104008093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Nicole J Charles is physically located?
The Nicole J Charles is physically situated at the following address: 4729 County Road 101, Minnetonka, MN, 553452634.
What is Nicole J Charles's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicole J Charles's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Nicole J Charles receive its 1104008093 assignment from the Centers for Medicare & Medicaid Services?
The Nicole J Charles was assigned its 1104008093 by the Centers for Medicare & Medicaid Services on 2007-12-03.
As of what date were the details related to Nicole J Charles most recently updated or revised?
The information pertaining to Nicole J Charles, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-23.
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