Healthcare Provider Details

I. General information

NPI: 1437966645
Provider Name (Legal Business Name): CHARIZMA GARZA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7025 N SCOTTSDALE RD
SCOTTSDALE AZ
85253-3675
US

IV. Provider business mailing address

313 E CORNELL DR
TEMPE AZ
85283-1818
US

V. Phone/Fax

Practice location:
  • Phone: 602-385-8733
  • Fax:
Mailing address:
  • Phone: 480-246-0542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number277852
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: