Provider Demographics
NPI:1023610458
Name:ENERIO, CHARMAINE ANN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:ANN
Last Name:ENERIO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-724-8180
Mailing Address - Fax:281-336-1171
Practice Address - Street 1:600 N KOBAYASHI STE 208
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-8180
Practice Address - Fax:281-336-1171
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1019347363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care