Correa, Charity Marie
Correa, Charity Marie is an individual health care provider with primary practice located at 6601 W Thomas Rd , Phoenix AZ 85033-5700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Correa, Charity Marie can be contacted via phone (602) 243-7277.Contact Information
Primary practice address
6601 W Thomas Rd
Phoenix AZ 85033-5700
Phone: (602) 243-7277
Fax: (623) 247-9742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP4512 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | AP4512 | Arizona |
Profile Details
| NPI number | 1174633051 |
|---|---|
| LBN Legal business name | Correa, Charity Marie |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 10th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174633051 | NPPES |
| Arizona | MEDICAID | 763934 |
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