Charnell Kinsleigh Alman, RN

Individual provider Active NPI Community Health Registered Nurse · Roebuck, SC

NPI 1629670534 · NPPES record last updated Nov 15, 2020

Key facts

NPI
1629670534
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
239979 (SC)
Practice address
465 Moores Xing
Roebuck, SC 29376-3531
Phone
(850) 529-7767
NPI assigned
Nov 15, 2020
Sex
Female
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

LicenseStateTypeSpecialty
239979SCMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WC1500X 239979 SC Yes

Addresses

Primary practice location

465 Moores Xing
Roebuck, SC 29376-3531

Mailing address

465 Moores Xing
Roebuck, SC 29376-3531
Phone (850) 529-7767

Other providers in Roebuck, SC

All providers in Roebuck, SC · Community Health Registered Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.