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Contact Information

LINDA CHARLES
402 WEST LAKE ST.
FRIENDSHIP, WI53934
 Phone: 608-339-8370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LINDA CHARLES · (Female)

NPI Number 1912044462
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 04/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2207
  • WI License # 2207-33
  • WI Medicaid 41187000
Hospital affiliation(s)
  • MOUNDVIEW MEMORIAL HSPTL AND CLINICS - (Critical Access)
    402 W LAKE ST
    FRIENDSHIP, WI 53934
  • RIVERVIEW HSPTL ASSOC - (Acute Care)
    410 DEWEY ST
    WISCONSIN RAPIDS, WI 54495
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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