Provider Demographics
NPI:1093959009
Name:BABIN, CHARLENE SMITH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CHARLENE
Middle Name:SMITH
Last Name:BABIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4426
Mailing Address - Country:US
Mailing Address - Phone:856-541-1700
Mailing Address - Fax:856-488-1450
Practice Address - Street 1:900 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4426
Practice Address - Country:US
Practice Address - Phone:856-541-1700
Practice Address - Fax:856-488-1450
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NPO5554900164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse