1215478649 NPI number — DR. CHARLES E DUGAN DNP, APRN, FNP-C

Table of content: DR. CHARLES E DUGAN DNP, APRN, FNP-C (NPI 1215478649)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215478649 NPI number — DR. CHARLES E DUGAN DNP, APRN, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUGAN
Provider First Name:
CHARLES
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DNP, APRN, FNP-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215478649
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 22239
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10087-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-654-6397
Provider Business Mailing Address Fax Number:
201-608-9241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 N COUNTRY CLUB RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREVARD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28712-8990
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-654-6397
Provider Business Practice Location Address Fax Number:
201-608-9241
Provider Enumeration Date:
03/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  5019472 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 118406300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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