Provider Demographics
NPI:1558634923
Name:ROBERTSON, CHARLOTTE HELEN (RN-C/WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:HELEN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:RN-C/WHNP-BC
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:WEHRLE-GALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-C/WHNP-BC
Mailing Address - Street 1:3838 N RURAL ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2930
Mailing Address - Country:US
Mailing Address - Phone:317-221-2306
Mailing Address - Fax:317-221-2336
Practice Address - Street 1:3838 N RURAL ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2930
Practice Address - Country:US
Practice Address - Phone:317-221-2306
Practice Address - Fax:317-221-2336
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28091745A163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN28091745AOtherINDIANA STATE LICENSE