Provider Demographics
NPI:1033403118
Name:ANDREASEN, CHARLOTTE G (RN, MSN, ANP-C)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:G
Last Name:ANDREASEN
Suffix:
Gender:F
Credentials:RN, MSN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MICHIGAN AVC. WEST
Mailing Address - Street 2:NEUROLOGY OF BATTLE CREEK
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017
Mailing Address - Country:US
Mailing Address - Phone:269-969-6177
Mailing Address - Fax:
Practice Address - Street 1:70 MICHIGAN AVE. WEST
Practice Address - Street 2:NEUROLOGY OF BATTLE CREEK
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017
Practice Address - Country:US
Practice Address - Phone:269-969-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP14500363LA2200X, 363LP2300X
MI4704257684363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health