Individual provider · Type 1 NPI

Charlotte Moffett Fafard, RN.

Case Management Registered Nurse · Phoenix, AZ

NPI number 1851468870 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Fax (602) 263-1619

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN071773 (AZ)

Case Management Registered Nurse: Definition to come...

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About NPI 1851468870

Charlotte Moffett Fafard, RN.'s National Provider Identifier is 1851468870, issued on Nov 29, 2006. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.