Provider Demographics
NPI:1821390915
Name:BESS, CHARLOTTE DENISE (RN, MSN, FNP)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:DENISE
Last Name:BESS
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:DENISE
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, FNP
Mailing Address - Street 1:5600 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-7227
Mailing Address - Country:US
Mailing Address - Phone:573-315-1844
Mailing Address - Fax:
Practice Address - Street 1:1010 W COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-2902
Practice Address - Country:US
Practice Address - Phone:573-218-6792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR78413163WH1000X, 163WX0800X, 163WE0003X, 163WG0000X
MO2007007057163WP0809X, 163W00000X, 163WC0200X
ARR078413163WP0809X
MO2018038757363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine