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Charlestown Primary Care Llc
Family Nurse Practitioner in Charlestown, Indiana
NPI 1114108164

Charlestown Primary Care Llc is a Family Nurse Practitioner based in Charlestown, IN and is specialized in Family. Charlestown Primary Care Llc practices in Charlestown, IN. The NPI Number for Charlestown Primary Care Llc is 1114108164 and holds a License No. 01061465A (Indiana).

The current practice location address for Charlestown Primary Care Llc is 3901 County Road 160, Charlestown, IN and can be reached out via phone at 812-406-6897 and via fax at 812-256-3577.

Location: 3901 County Road 160, Charlestown, IN, 47111-9181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114108164
Provider Name
Charlestown Primary Care Llc
Credential
Provider Entity Type
Organization
Address
3901 County Road 160, Charlestown, IN, 47111-9181
Phone Number
812-406-6897
Fax Number
812-256-3577
Provider Enumeration Date
11/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000549269 01 IN ANTHEM GROUP NUMBER
20089454A 05 IN
institution
Provider Business Practice Location Address Details
Address
3901 County Road 160
City
Charlestown
State
Indiana
Zip
47111-9181
Phone Number
812-406-6897
Fax Number
812-256-3577
person
Provider Business Mailing Address Details
Address
3901 County Road 160
City
Charlestown
State
Indiana
Zip
47111-9181
Phone Number
812-406-6897
Fax Number
812-256-3577
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
71002399A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71003560A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
01061465A (Indiana)
Definition
Definition to come...
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