Individual provider · Type 1 NPI
Charles Richard Carleton, MSN, FNP-C
Family Nurse Practitioner · Shreveport, LA
NPI number
1457357469
Active
Practice location
510 Stoner Ave
Shreveport, LA 71101-4123
Fax (318) 429-5710
Mailing address
9075 Summer Tree Cir
Greenwood, LA 71033-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A-099327 (IA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457357469
Charles Richard Carleton, MSN, FNP-C's National Provider Identifier is 1457357469, issued on Jun 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.