Healthcare Provider Details

I. General information

NPI: 1871422717
Provider Name (Legal Business Name): MARION CHARLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 HARVARD ST SE
MINNEAPOLIS MN
55455-0353
US

IV. Provider business mailing address

308 HARVARD ST SE
MINNEAPOLIS MN
55455-0353
US

V. Phone/Fax

Practice location:
  • Phone: 763-732-9047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number2291558
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: