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NPI Code Detail

MEDICARE: MR. CHARLTON RICHARD COVILL RN - CRNFA

MEDICARE:  MR. CHARLTON RICHARD COVILL  RN - CRNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP2800XPerioperative Clinical Nurse SpecialistRN063578AZ

General Provider Information

NPI Number : 1831177781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLTON RICHARD COVILL RN - CRNFA
Provider Business Mailing Address
First Line : 15629 E SANOQUE BLVD
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-9421
Country : US
Telephone Number : 480-814-7132
Fax Number :
Provider Business Practice Location Address
First Line : 15629 E SANOQUE BLVD
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-9421
Country : US
Telephone Number : 480-814-7132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. CHARLTON RICHARD COVILL RN - CRNFA” Practice Location

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