Fafard, Charlotte Moffett

Fafard, Charlotte Moffett is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Fafard, Charlotte Moffett can be contacted via phone (602) 263-1511.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN071773 Arizona

Profile Details

NPI number 1851468870
LBN Legal business name Fafard, Charlotte Moffett
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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