Individual provider · Type 1 NPI
Ketania Marie Charles
Family Nurse Practitioner · Hartford, CT
NPI number
1528897022
Active
Practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
48 Collier Cir
Hamden, CT 06518-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 13544 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1528897022
Ketania Marie Charles's National Provider Identifier is 1528897022, issued on Jul 31, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hartford, CT. The record was last updated on Oct 20, 2024.