Individual
CHARLOTTE MARIE TACK DEMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5199
(480) 862-1721
Mailing address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306786
NY
Other
Enumeration date
09/03/2015
Last updated
04/26/2023
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