Provider Demographics
NPI:1033456884
Name:REASONS, CHARITY (NP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:REASONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 E CAMELBACK RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4219
Mailing Address - Country:US
Mailing Address - Phone:602-778-3600
Mailing Address - Fax:602-778-3602
Practice Address - Street 1:367 HOSPITAL BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2080
Practice Address - Country:US
Practice Address - Phone:731-661-2345
Practice Address - Fax:731-661-2346
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN136978363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner