Provider Demographics
NPI:1922847508
Name:ROWLETT, CHARLOTTE
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:ROWLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:COAL HILL
Mailing Address - State:AR
Mailing Address - Zip Code:72832-8845
Mailing Address - Country:US
Mailing Address - Phone:501-515-7606
Mailing Address - Fax:
Practice Address - Street 1:201 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COAL HILL
Practice Address - State:AR
Practice Address - Zip Code:72832-8845
Practice Address - Country:US
Practice Address - Phone:501-515-7606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider