Doctor Name: | CHARLOTTE SUZANNE FOX |
NPI Number: | 1235327792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, ACNP-BC |
License Number: | 606313 |
Business Practice Address: | 200 County Road 340a Bldg. 1, Ste. B Burnet, TX - 786114537 |
Business Phone Number: | 5127153032 |
Business Fax Number: | 5127153029 |
Mailing Address: | 200 County Road 340a, Bldg 1 Suite B BURNET |
State: | TX |
Postal Code: | 786114537 |
Phone Number: | 5127153032 |
Fax Number: | 5127153029 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 606313 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |