Individual
CHARLANN CARROLL STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10133 N 92ND ST STE 102, SCOTTSDALE, AZ 85258-4556
(480) 644-6416
Mailing address
1146 N MELODY CIR, CHANDLER, AZ 85225-1695
(480) 797-9653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220405
AZ
363LA2100X
Acute Care Nurse Practitioner
220405
AZ
363LA2200X
Adult Health Nurse Practitioner
220405
AZ
363LG0600X
Gerontology Nurse Practitioner
220405
AZ
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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