Healthcare Provider Details

I. General information

NPI: 1821390915
Provider Name (Legal Business Name): CHARLOTTE DENISE BESS RN, MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHARLOTTE DENISE LAY RN, MSN, FNP

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 05/04/2024
Certification Date: 05/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W COLUMBIA ST
FARMINGTON MO
63640-2902
US

IV. Provider business mailing address

5600 MEADOW LN
FARMINGTON MO
63640-7227
US

V. Phone/Fax

Practice location:
  • Phone: 573-218-6792
  • Fax:
Mailing address:
  • Phone: 573-315-1844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberR78413
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number2007007057
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR078413
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberR78413
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018038757
License Number StateMO
# 6
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR78413
License Number StateAR
# 7
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR78413
License Number StateAR
# 8
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2007007057
License Number StateMO
# 9
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number2007007057
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: