Mariah Kathryn Charles, APN
NPI #1134422652 in Pinckneyville, Illinois
Provider Information
- NPI Number
- 1134422652
- Entity Type
- Individual
- Name
- Mariah Kathryn Charles, APN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APN
- Enumeration Date
- Dec 7, 2010
- Last Updated
- Jan 26, 2016
Practice Location
- Address
- 5383 STATE ROUTE 154
- City
- Pinckneyville
- State
- Illinois
- ZIP Code
- 62274-3342
- Phone
- (618) 357-2131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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