Search › Minnesota › 364SP0809X
Charlotte Stack, R.N., CNS
NPI 1700955648 · on the registry since 2006
Practice
- Address
- 882 Sw 15th St.
Forest Lake, MN 55025 - Phone
- (651) 464-2194
- Fax
- (651) 464-5744
- Organisation at this address
- Lakes Area Human Services, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 364SP0809X
364SP0809X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota