| Doctor Name: | MRS. CHARLOTTE RENE MATTHEWS |
| NPI Number: | 1720138811 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 4704177345 |
| Business Practice Address: | 54881 Walnut Dr New Hudson, MI - 481659500 |
| Business Phone Number: | 2485213686 |
| Business Fax Number: | |
| Mailing Address: | 54881 Walnut Dr, NEW HUDSON |
| State: | MI |
| Postal Code: | 481659500 |
| Phone Number: | 2485213686 |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 4704177345 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |