Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES JAY BAWCOM, APRN-RNP
ActiveMR. CHARLES JAY BAWCOM, APRN-RNP is a Family Nurse Practitioner healthcare provider located in GRAND CANYON, Arizona. NPI 1801419841 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GRAND CANYON, AZ
Registration Details
- NPI Number
- 1801419841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2020 (6.2157672066245 yrs)
- Last Updated
- May 26, 2020
- License
-
241530 (AZ)
Practice Information
- Address
-
1 CLINIC RD # 369GRAND CANYON, AZ, 860230290Browse AZ providers · Browse ZIP 86023
- Phone
- 9286382551
- Fax
- 9286382598
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GRAND CANYON, AZ
| Name | Credential | NPI |
|---|---|---|
| MARY GDULA | FNP | 1124092242 |
| KRYSTAL D CAREY | FNP | 1093012213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.