Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE J CHARLES, PAC
ActiveNICOLE J CHARLES, PAC is a Medical Physician Assistant healthcare provider located in WACONIA, Minnesota. NPI 1104008093 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WACONIA, MN
Registration Details
- NPI Number
- 1104008093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2007 (18.653894599485 yrs)
- Last Updated
- Mar 23, 2021
- License
-
1081 (MN)
Practice Information
- Address
-
500 S MAPLE STWACONIA, MN, 553871752Browse MN providers · Browse ZIP 55387
- Phone
- 9524422191
- Fax
- 9529743201
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WACONIA, MN
| Name | Credential | NPI |
|---|---|---|
| MS. TO UYEN T PHAM | — | 1093074528 |
| LAURIE K. GROTZINGER | PA | 1043566003 |
| SARAH TALBOTT | PA-C | 1194124313 |
| ERICA WEBER | PA-C | 1326408691 |
| CHRISTIAN DANE ADAMS | — | 1760115232 |
| MAKAYLA MARIE DICKOVICH | PA-C | 1457042236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.