Individual
CHARLOTTE MERRILL CHAISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13065 W MCDOWELL RD STE C130, AVONDALE, AZ 85392-6448
(623) 846-7575
Mailing address
3002 N 48TH PL, PHOENIX, AZ 85018-6563
(203) 241-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
278193
AZ
Other
Enumeration date
07/22/2022
Last updated
10/17/2023
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