Provider Demographics
NPI:1770780322
Name:STEPHENS, CHARLOTTE DENISE (RNC, MSN, APN)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:DENISE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:RNC, MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3453
Mailing Address - Country:US
Mailing Address - Phone:713-302-8024
Mailing Address - Fax:
Practice Address - Street 1:1110 FM 2234 RD
Practice Address - Street 2:600
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6483
Practice Address - Country:US
Practice Address - Phone:281-208-0000
Practice Address - Fax:281-261-5017
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235393363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health