Provider Demographics
NPI:1730824541
Name:HASTINGS, CHARLA A (RN)
Entity type:Individual
Prefix:
First Name:CHARLA
Middle Name:A
Last Name:HASTINGS
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 1:256 JOHN SCOTT HWY
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-3001
Mailing Address - Country:US
Mailing Address - Phone:740-264-7176
Mailing Address - Fax:
Practice Address - Street 1:256 JOHN SCOTT HWY
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-3001
Practice Address - Country:US
Practice Address - Phone:740-264-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.205439163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse