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Individual

TAMMY JNCHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
6200 HOLLYWOOD BLVD APT 1422, LOS ANGELES, CA 90028-6188
(916) 479-0135

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024196035
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
323395
AZ
367500000X
Certified Registered Nurse Anesthetist
95001833
CA
367500000X
Certified Registered Nurse Anesthetist
D184742
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95001833
CALIFORNIA BOARD OF NURSES
CA
Enumeration date
09/19/2022
Last updated
04/30/2026
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