| Doctor Name: | MRS. CARISE ELIZABETH CHARLES |
| NPI Number: | 1245270206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN334333 |
| Business Practice Address: | 3102 East Highland Ave Patton, CA - 92369 |
| Business Phone Number: | 9094257844 |
| Business Fax Number: | 9098620718 |
| Mailing Address: | 6841 Gala St, Highland HIGHLAND |
| State: | CA |
| Postal Code: | 923462766 |
| Phone Number: | 9166542431 |
| Fax Number: | 9166543186 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 04/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN334333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |