| Doctor Name: | LINDA CHARLES |
| NPI Number: | 1912044462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2207 |
| Business Practice Address: | 402 West Lake St. Friendship, WI - 53934 |
| Business Phone Number: | 6083398370 |
| Business Fax Number: | |
| Mailing Address: | 402 West Lake St., FRIENDSHIP |
| State: | WI |
| Postal Code: | 53934 |
| Phone Number: | 6083398370 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 2207 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |