Provider Demographics
NPI:1508204272
Name:DOHN, CHARLOTTE (FNP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:DOHN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 W 55TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-1962
Mailing Address - Country:US
Mailing Address - Phone:605-310-1044
Mailing Address - Fax:
Practice Address - Street 1:33 3RD ST SE
Practice Address - Street 2:SUITE 201
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2063
Practice Address - Country:US
Practice Address - Phone:605-353-0858
Practice Address - Fax:605-610-4063
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily