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Individual

CHARMAIGNE SCANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12725 W INDIAN SCHOOL RD STE E, AVONDALE, AZ 85392-9520
(845) 337-9665
(833) 527-1531
Mailing address
22644 W PIMA ST, BUCKEYE, AZ 85326-8945
(845) 337-9665
(833) 527-1531

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
243834
AZ
363LF0000X
Family Nurse Practitioner
F346893
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN-RNP243834
AZBN
AZ
Enumeration date
02/09/2009
Last updated
06/06/2024
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