Provider Demographics
NPI:1891854717
Name:DOWNS, CHARLES A (MSN, CRNP, CCRN)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:A
Last Name:DOWNS
Suffix:
Gender:M
Credentials:MSN, CRNP, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 LEIGHTON AVENUE
Mailing Address - Street 2:SUIRE 305
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-237-8811
Mailing Address - Fax:256-237-8823
Practice Address - Street 1:901 LEIGHTON AVENUE
Practice Address - Street 2:SUIRE 305
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-237-8811
Practice Address - Fax:256-237-8823
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-090792363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ03066Medicare UPIN