Ms Charlotte Louise Stack, RN, CNS - Clinical Nurse Specialist in Forest Lake, MN

Ms Charlotte Louise Stack, RN, CNS is a Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Forest Lake, Minnesota. Ms Charlotte Louise Stack is licensed to practice in Minnesota (license number R0917850) and her current practice location is 882 Sw 15th St., Forest Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 464-2194.

NPI number for Ms Charlotte Louise Stack is 1700955648 and her current mailing address is 573 N Day Rd, Saint Croix Falls, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700955648.

Contact Information

Ms Charlotte Louise Stack, RN, CNS
882 Sw 15th St.,
Forest Lake, MN 55025-1331
(651) 464-2194
(651) 464-5744



Provider's Profile

Full NameMs Charlotte Louise Stack
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location882 Sw 15th St., Forest Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700955648
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Charlotte Louise Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700955648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult R0917850 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Charlotte Louise Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Charlotte Louise Stack, RN, CNS
573 N Day Rd,
Saint Croix Falls, WI 54024-9454

Ph: (715) 483-9688
Ms Charlotte Louise Stack, RN, CNS
882 Sw 15th St.,
Forest Lake, MN 55025-1331

Ph: (651) 464-2194

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› Verified 2 days ago


Clinical Nurse Specialist Nurses in Forest Lake, MN

Lyn Marie Palacheck, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 24750 Field Ave, Forest Lake, MN 55025
Phone: 651-261-5360    Fax: 651-464-4845
Aimee Nichole Neumann, CNP
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 25 Lake St N Ste 120, Forest Lake, MN 55025
Phone: 651-374-4014    Fax: 651-374-4019

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