Individual
CHARITY MARIE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
36590 N BOULDER VIEW DR, SCOTTSDALE, AZ 85262-3909
(602) 449-2811
(602) 449-2812
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP4512
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP4512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763934
—
AZ
Enumeration date
08/30/2006
Last updated
01/10/2018
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