Charles Mertz, RN
Individual provider Active NPI Registered Nurse · Ponca City, OK
NPI 1629217013 · NPPES record last updated Feb 9, 2009
Key facts
- NPI
- 1629217013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0080905 (OK)
- Practice address
- 13 Hillcrest Dr
Ponca City, OK 74604-4808 - Phone
- (580) 765-1777
- NPI assigned
- Feb 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0080905 | OK | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0080905 | OK | Yes |
Addresses
Primary practice location
13 Hillcrest Dr
Ponca City, OK 74604-4808
Mailing address
81 Stoneridge Rd
Ponca City, OK 74604-3418
Phone (580) 762-2997
Other providers in Ponca City, OK
- Aubrey Corlette Mentis Jr.
- Jovana Mercado
- Liliana Mercado
- Jim M Merrifield
- Joan Anastasia Merrifield
- Ashley Merz
- Stephanie Katrina Meyers
- Allison Nicole Miller
- Amber Mischelle Miller
- Barbara A Miller
All providers in Ponca City, OK · Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.