Ms Charlotte Louise Stack, RN, CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Forest Lake, Minnesota. Ms Charlotte Louise Stack is licensed to practice in Minnesota (license number R0917850) and her current practice location is
882 Sw 15th St., Forest Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 464-2194.
NPI number for Ms Charlotte Louise Stack is 1700955648 and her current mailing address is 573 N Day Rd, Saint Croix Falls, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700955648.
Provider's Profile
| Full Name | Ms Charlotte Louise Stack |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 882 Sw 15th St., Forest Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700955648
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Charlotte Louise Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700955648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R0917850 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Charlotte Louise Stack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Charlotte Louise Stack, RN, CNS
573 N Day Rd,
Saint Croix Falls, WI 54024-9454
Ph: (715) 483-9688 | Ms Charlotte Louise Stack, RN, CNS
882 Sw 15th St.,
Forest Lake, MN 55025-1331
Ph: (651) 464-2194 |
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