# MR. CHARLES DANIEL FALCONER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770143430
- **Gender:** Man
- **Credential:** MSN, CRNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 95034112 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP021192 | PA | — |

## Other

- **Enumeration date:** 06/15/2019
- **Last updated:** 10/29/2025