CHARLOTTE MOFFETT FAFARD


Address: 4212 N 16th St, Phoenix, AZ 85016-5319
Phone: 6022631511

CHARLOTTE MOFFETT FAFARD (NPI# 1851468870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851468870
Entity Type Individual
Full Name CHARLOTTE MOFFETT FAFARD
Credential RN.
Practice Address 4212 N 16th St
Phoenix
AZ 85016-5319
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631511
Practice Fax Number 6022631619
Mailing Telephone 6022631511
Mailing Fax Number 6022631619
Enumeration Date 2006-11-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
RN071773 AZ Nursing Service Providers

Office Location

Street Address 4212 N 16TH ST
City PHOENIX
State AZ
Zip Code 85016-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627648 Judy Marie Pinsonneault Family Medicine 4212 N 16th St, Phoenix, AZ 85016-5319 2005-05-27
1568071348 Christopher Tran Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1659980480 Corinne Easterling Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1598383192 Tamika Howard Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-09
1659901544 Joseph Maloy Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-01-20
1437709680 Kymberly Sue Ludwig Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-18
1962052746 Jamie C Wilson Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-13
1427602721 Jonathon Andrew Marquez Respiratory Therapist, Certified 4212 N 16th St, Phoenix, AZ 85016-5319 2019-07-25
1700441664 Douglas Edward Henry Physical Therapist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-05-07
1982189205 Rachael Renina Hunter Edwards Psychologist 4212 N 16th St, Phoenix, AZ 85016-5319 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629586912 Marc Completo Registered Nurse 5217 W Spur Dr, Phoenix, AZ 85083-1285 2018-01-20
1588113708 Nanette Hernandez Registered Nurse 5008 E Thomas Rd, Phoenix, AZ 85018-7956 2016-09-29
1720450307 Melissa Johnson Registered Nurse 4836 E Williams Dr, Phoenix, AZ 85054-6169 2015-10-22
1538585013 Karen Dunagan Registered Nurse 712 E Mountain Sage Dr, Phoenix, AZ 85048-4424 2014-03-08
1316464290 Medsite Medical Services Registered Nurse 1501 E Orangewood Ave, Phoenix, AZ 85020-5130 2017-08-23
1992022834 Emmylou O Yazzie Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2010-05-03
1134305329 Terri Alejandro Registered Nurse 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2008-01-17
1376678938 Timothy Neil Watkins Registered Nurse 4212 N 16th St, Building 10, Phoenix, AZ 85016-5319 2007-02-23
1760557847 Linda Sorrelman Trujillo Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2006-11-22
1962577023 Amy Marie Parker Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2006-11-22
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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