MR. CHARLES DANIEL FALCONER MSN CRNP PMHNP-BC NPI 1770143430

NPI Information

  • NPI: 1770143430
  • Provider Name: MR. CHARLES DANIEL FALCONER, MSN, CRNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2600 N AMERICAN ST
    PHILADELPHIA, PA
    ZIP 19133
  • Phone: (215) 739-2669

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NPI Details

MR. Charles Daniel Falconer, MSN, CRNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Philadelphia, PA. MR. Charles Daniel Falconer, MSN, CRNP, PMHNP-BC NPI is 1770143430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2600 N AMERICAN ST
PHILADELPHIA, PA
ZIP 19133-413
Phone: (215) 739-2669
Fax: (215) 739-5879

The NPI 1770143430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2019 and was last updated on 3/2/2020.

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
1163W00000XRegistered Nurse26NR19683600NEW JERSEYNo
2163W00000XRegistered NurseL1-0052335DELAWARENo
3163W00000XRegistered NurseRN694705PENNSYLVANIANo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthSP021192PENNSYLVANIAYes

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: 3/30/2025

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