MRS. MICHELLE KAVCAK CHARLES RN MPH NPI 1376760355

NPI Information

NPI: 1376760355
Provider Name: MRS. MICHELLE KAVCAK CHARLES, RN, MPH
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
4612 N 28TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 764-7113
Get Directions

MRS. Michelle Kavcak Charles, RN, MPH is a school registered nurse in Phoenix, AZ. MRS. Michelle Kavcak Charles, RN, MPH NPI is 1376760355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4612 N 28TH ST
PHOENIX, AZ
ZIP 85016-931
Phone: (602) 764-7113

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	RN083261	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	591124	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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