Doctor Name: | CHARLOTTE VERMEULEN |
NPI Number: | 1225469901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SPO13456 |
Business Practice Address: | 943 Fourth Ave New Kensington, PA - 150686409 |
Business Phone Number: | 7243353334 |
Business Fax Number: | 7243352283 |
Mailing Address: | 2006 Coal Hollow Rd, APOLLO |
State: | PA |
Postal Code: | 156139024 |
Phone Number: | 7247273614 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SPO13456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |