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General NPI Number Information
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NPI Number | 1558424366
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Entity Type | Individual
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Provider Name | WRONETTA ANN CHARLES DNP, APRN, BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5367 I 49 S SERVICE RD
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City | OPELOUSAS
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State | LA
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Zip | 70570-0743
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Country | US
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Telephone | 337-678-0366
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Fax | 337-223-8301
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Provider Business Mailing Address
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Address Line | 2161 BABE ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-3252
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Country | US
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Telephone | 337-290-0745
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP04507
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP04507
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License Number State | LA
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