Mrs. Ketania Marie Charles
Mrs. Ketania Marie Charles is a Nurse Practitioner in Hartford, Connecticut. Qualified in 2024, 2 years ago. Practices with Proactive Health Care Management LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 2
- Licensed in
- CT
- In the registry since
- 2024
Practice location Address checks out
500 Albany AveHartford, CT 06120-2508
Phone: (860) 249-9625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 13544 (CT) |
|---|
Record details
| NPI number | 1528897022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2024 |
| Last updated in NPPES | October 20, 2024 |
| Certification date | October 20, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Proactive Health Care Management Llc — 38 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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