Provider Demographics
NPI:1073581823
Name:CHARLTON, KAREN HINTZ (CFNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HINTZ
Last Name:CHARLTON
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1920 KIRBY PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3697
Mailing Address - Country:US
Mailing Address - Phone:901-751-9997
Mailing Address - Fax:901-751-1344
Practice Address - Street 1:1920 KIRBY PKWY STE 202
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3697
Practice Address - Country:US
Practice Address - Phone:901-751-9997
Practice Address - Fax:901-751-1344
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024103210363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7784988Medicaid
VA7784988Medicaid