Healthcare Provider Details

I. General information

NPI: 1275780827
Provider Name (Legal Business Name): CHARLA M KUHNE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHARLA M RICKERT NP

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10245 N 92ND ST
SCOTTSDALE AZ
85258-4563
US

IV. Provider business mailing address

2910 N 3RD AVE
PHOENIX AZ
85013-4434
US

V. Phone/Fax

Practice location:
  • Phone: 480-767-0555
  • Fax: 480-704-3373
Mailing address:
  • Phone: 602-406-3181
  • Fax: 602-406-6108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3134
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: