Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHARLOTTE LOUISE STACK, R.N., CNS
ActiveMS. CHARLOTTE LOUISE STACK, R.N., CNS is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in FOREST LAKE, Minnesota. NPI 1700955648 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · FOREST LAKE, MN
Registration Details
- NPI Number
- 1700955648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2006 (19.808633890994 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R0917850 (MN)
Practice Information
- Address
-
882 SW 15TH ST.FOREST LAKE, MN, 550251331Browse MN providers · Browse ZIP 55025
- Phone
- 6514642194
- Fax
- 6514645744
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
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.