Individual
CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3202 E GREENWAY RD STE 1401, PHOENIX, AZ 85032-4511
(888) 405-6396
(415) 252-7176
Mailing address
875 W PECOS RD APT 2017, CHANDLER, AZ 85225-7607
(215) 900-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
327568
AZ
Other
Enumeration date
01/03/2024
Last updated
12/16/2025
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