Provider Demographics
NPI:1215478649
Name:DUGAN, CHARLES E (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:DUGAN
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8230
Mailing Address - Country:US
Mailing Address - Phone:828-645-7974
Mailing Address - Fax:828-645-9798
Practice Address - Street 1:104 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8230
Practice Address - Country:US
Practice Address - Phone:828-645-7974
Practice Address - Fax:828-645-9798
Is Sole Proprietor?:No
Enumeration Date:2017-03-18
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9304128363L00000X
FLAPRN9304128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020558200Medicaid