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Individual
MR. CHARLES DANIEL FALCONER
Active
Individual
MR. CHARLES DANIEL FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111054-21
NH
163W00000X
Registered Nurse
95410984
CA
163W00000X
Registered Nurse
RN694705
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
111054-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95034112
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP021192
PA
Other
Enumeration date
06/15/2019
Last updated
10/29/2025
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