Individual provider · Type 1 NPI

Kimberly Nicole Charles, FNP

Family Nurse Practitioner · Lake Success, NY

NPI number 1982943254 Active

Practice location

1999 Marcus Ave, Suite 116
Lake Success, NY 11042

Fax (516) 403-1551

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X337723 (NY)

Family Nurse Practitioner: Definition to come...

62 other providers at this address

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About NPI 1982943254

Kimberly Nicole Charles, FNP's National Provider Identifier is 1982943254, issued on Feb 6, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Success, NY. The record was last updated on Apr 5, 2021.