person
Ms. Charlotte Louise Stack, RN,CNS
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Forest Lake, Minnesota
NPI 1700955648

Charlotte Louise Stack is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Saint Croix Falls, MN and is specialized in Psychiatric/Mental Health, Adult. Charlotte Louise Stack practices in Forest Lake, MN and has the professional credentials of RN,CNS. The NPI Number for Charlotte Louise Stack is 1700955648 and holds a License No. R0917850 (Minnesota).

The current practice location address for Charlotte Louise Stack is 882 Sw 15Th St., Forest Lake, MN and can be reached out via phone at 651-464-2194 and via fax at 651-464-5744.

Location: 882 Sw 15Th St., Forest Lake, MN, 54024-9454
person
Provider Profile Details
NPI Number
1700955648
Provider Name
Charlotte Louise Stack
Credential
RN,CNS
Provider Entity Type
Individual
Gender
Female
Address
882 Sw 15Th St., Forest Lake, MN, 54024-9454
Phone Number
651-464-2194
Fax Number
651-464-5744
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
882 Sw 15Th St.
City
State
Zip
55025-1331
Phone Number
651-464-2194
Fax Number
651-464-5744
person
Provider Business Mailing Address Details
Address
882 Sw 15Th St.
City
State
Zip
55025-1331
Phone Number
651-464-2194
Fax Number
651-464-5744
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
R0917850 (Minnesota)
Definition
Definition to come...
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