MEDICARE: CHARLOTTE B. SCHUG CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	TR001317B	PA
2	363LF0000X	Family Nurse Practitioner	TP001317B	PA

General Provider Information

NPI Number	:	1932381555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE B. SCHUG CRNP

Provider Business Mailing Address
First Line	:	7050 CAMP HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2210
Country	:	US
Telephone Number	:	215-273-7357
Fax Number	:	215-272-4025

Provider Business Practice Location Address
First Line	:	7050 CAMP HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2210
Country	:	US
Telephone Number	:	215-273-7357
Fax Number	:	215-273-4025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	09/18/2013

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