Provider Demographics
NPI:1023319159
Name:PIDGEON, CHARLOTTE P (MBA)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:P
Last Name:PIDGEON
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8605 MIRADA DEL SOL DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8207
Mailing Address - Country:US
Mailing Address - Phone:702-363-4684
Mailing Address - Fax:
Practice Address - Street 1:8605 MIRADA DEL SOL DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8207
Practice Address - Country:US
Practice Address - Phone:702-363-4684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study