Provider Demographics
NPI:1548506470
Name:CHARLET, SANDY STUARD (RN)
Entity type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:STUARD
Last Name:CHARLET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 BRIGHTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-3509
Mailing Address - Country:US
Mailing Address - Phone:225-675-7327
Mailing Address - Fax:225-757-3430
Practice Address - Street 1:2888 BRIGHTSIDE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-3509
Practice Address - Country:US
Practice Address - Phone:225-675-7327
Practice Address - Fax:225-757-3430
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN096177163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool