Provider Demographics
NPI:1487869707
Name:CHARLES, ANNE ELIZABETH (DNP, FNP-C, CNM)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ELIZABETH
Last Name:CHARLES
Suffix:
Gender:F
Credentials:DNP, FNP-C, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:198 NC HIGHWAY 45 N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-9232
Mailing Address - Country:US
Mailing Address - Phone:252-793-3023
Mailing Address - Fax:
Practice Address - Street 1:198 NC HIGHWAY 45 N
Practice Address - Street 2:MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-9232
Practice Address - Country:US
Practice Address - Phone:252-793-1751
Practice Address - Fax:252-766-3376
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC157284367A00000X
NC5004083363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife