NPI 1043955313

Charisse Ann Tan, BSNRN

Practitioner Registered Nurse Avondale, AZ

Practice location

Address: 10875 W Cambridge Ave, Avondale, AZ 85392-5807
Phone: (602) 540-6932

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 248353 (AZ)

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Registry record

NPI: 1043955313
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2022
Record last updated: 2 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.