Doctor Name: | CHARLOTTE MURRY NOLES |
NPI Number: | 1003917071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | S01046 |
Business Practice Address: | 2200 Fort Roots Dr Extended Care 1d (118/nlr) North Little Rock, AR - 721141709 |
Business Phone Number: | 5012572750 |
Business Fax Number: | |
Mailing Address: | 6317 Allwood Dr, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721182609 |
Phone Number: | 5017538805 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | S01046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |