Individual
CHARLEEN BATTERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6100
Mailing address
2013 N 36TH ST, PHOENIX, AZ 85008-3026
(602) 381-6100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043458
AZ
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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