Provider Demographics
NPI:1346591500
Name:PARSONS, CHARLOTTE R (ARNP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:R
Last Name:PARSONS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 CHERRY AVE STE 315
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4201
Mailing Address - Country:US
Mailing Address - Phone:360-405-7900
Mailing Address - Fax:253-426-6344
Practice Address - Street 1:2601 CHERRY AVE STE 315
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4201
Practice Address - Country:US
Practice Address - Phone:360-405-7900
Practice Address - Fax:253-426-6344
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI56630163W00000X
WARN60579048163WD0400X
WAAP60719651363LF0000X
WAAP60719551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2088771Medicaid