Individual provider · Type 1 NPI
Charles Michaletz, RN
Medical-Surgical Registered Nurse · Flagstaff, AZ
NPI number
1619858909
Active
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
795 E Ponderosa Pkwy
Flagstaff, AZ 86001-3372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | NUR-RN-LIC-264652 (MT) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1619858909
Charles Michaletz, RN's National Provider Identifier is 1619858909, issued on Sep 11, 2025. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Flagstaff, AZ. The record was last updated on Sep 11, 2025.