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Individual

CHARLES GERARD FAHRENHOLTZ

Active
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Individual

CHARLES GERARD FAHRENHOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP,CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9510615
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003021
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103759300
FL
Enumeration date
05/17/2019
Last updated
09/02/2026
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