MR. CHRISTOPHER IAN EARLE


Address: 1835 E 6th St, Ste 21, Tempe, AZ 85281-2964
Phone: 4805816981

MR. CHRISTOPHER IAN EARLE (NPI# 1003242314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003242314
Entity Type Individual
Full Name MR. CHRISTOPHER IAN EARLE
Credential DNP
Practice Address 1835 E 6th St
Ste 21
Tempe
AZ 85281-2964
Practice Telephone 4805816981
Mailing Telephone 4805816981
Mailing Fax Number 9496557895
Enumeration Date 2013-09-18
Last Update Date 2020-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP5159 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 848051 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8836 N 23rd Ave, B1, Phoenix, AZ 850214185 6029449810 6022167040

Other Providers CHRISTOPHER EARLE

NPI Name Taxonomy Address Enumeration
1780722249 Christopher P.C. Earle Massage Therapist 60 Parnell St, Merritt Island, FL 32953-4795 2007-02-04

Office Location

Street Address 1835 E 6TH ST
STE 21
City TEMPE
State AZ
Zip Code 85281-2964

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City TEMPE
Zip Code 85281

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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